Boronic acid derivatives and therapeutic uses thereof

ABSTRACT

Disclosed herein are antimicrobial compounds compositions, pharmaceutical compositions, the method of use and preparation thereof. Some embodiments relate to boronic acid derivatives and their use as therapeutic agents, for example, β-lactamase inhibitors (BLIs).

BACKGROUND Field

The present application relates to the fields of chemistry and medicine. More particularly, the present application relates to boronic acid antimicrobial compounds, compositions, their preparation, and their use as therapeutic agents.

Description of the Related Art

Antibiotics have been effective tools in the treatment of infectious diseases during the last half-century. From the development of antibiotic therapy to the late 1980s there was almost complete control over bacterial infections in developed countries. However, in response to the pressure of antibiotic usage, multiple resistance mechanisms have become widespread and are threatening the clinical utility of anti-bacterial therapy. The increase in antibiotic resistant strains has been particularly common in major hospitals and care centers. The consequences of the increase in resistant strains include higher morbidity and mortality, longer patient hospitalization, and an increase in treatment costs.

Various bacteria have evolved β-lactam deactivating enzymes, namely, β-lactamases, that counter the efficacy of the various β-lactam antibiotics. β-lactamases can be grouped into 4 classes based on their amino acid sequences, namely, Ambler classes A, B, C, and D. Enzymes in classes A, C, and D include active-site serine β-lactamases, and class B enzymes, which are encountered less frequently, are Zn-dependent. These enzymes catalyze the chemical degradation of β-lactam antibiotics, rendering them inactive. Some β-lactamases can be transferred within and between various bacterial strains and species. The rapid spread of bacterial resistance and the evolution of multi-resistant strains severely limits β-lactam treatment options available.

The increase of class D β-lactamase-expressing bacterium strains such as Acinetobacter baumannii has become an emerging multidrug-resistant threat. A. baumannii strains express A, C, and D class β-lactamases. The class D β-lactamases such as the OXA families are particularly effective at destroying carbapenem type β-lactam antibiotics, e.g., imipenem, the active carbapenems component of Merck's Primaxin® (Montefour, K. et al., Crit. Care Nurse 2008, 28, 15; Perez, F. et al., Expert Rev. Anti Infect. Ther. 2008, 6, 269; Bou, G.; Martinez-Beltran, J., Antimicrob. Agents Chemother. 2000, 40, 428. 2006, 50, 2280; Bou, G. et al., J. Antimicrob. Agents Chemother. 2000, 44, 1556). This has imposed a pressing threat to the effective use of drugs in that category to treat and prevent bacterial infections. Indeed the number of catalogued serine-based β-lactamases has exploded from less than ten in the 1970s to over 300 variants. These issues fostered the development of five “generations” of cephalosporins. When initially released into clinical practice, extended-spectrum cephalosporins resisted hydrolysis by the prevalent class A β-lactamases, TEM-1 and SHV-1. However, the development of resistant strains by the evolution of single amino acid substitutions in TEM-1 and SHV-1 resulted in the emergence of the extended-spectrum β-lactamase (ESBL) phenotype.

New β-lactamases have recently evolved that hydrolyze the carbapenem class of antimicrobials, including imipenem, biapenem, doripenem, meropenem, and ertapenem, as well as other β-lactam antibiotics. These carbapenemases belong to molecular classes A, B, and D. Class A carbapenemases of the KPC-type predominantly in Klebsiella pneumoniae but now also reported in other Enterobacteriaceae, Pseudomonas aeruginosa and Acinetobacter baumannii. The KPC carbapenemase was first described in 1996 in North Carolina, but since then has disseminated widely in the US. It has been particularly problematic in the New York City area, where several reports of spread within major hospitals and patient morbidity have been reported. These enzymes have also been recently reported in France, Greece, Sweden, United Kingdom, and an outbreak in Germany has recently been reported. Treatment of resistant strains with carbapenems can be associated with poor outcomes.

The zinc-dependent class B metallo-β-lactamases are represented mainly by the VIM, IMP, and NDM types. IMP and VIM-producing K. pneumonia were first observed in 1990s in Japan and 2001 in Southern Europe, respectively. IMP-positive strains remain frequent in Japan and have also caused hospital outbreaks in China and Australia. However, dissemination of IMP-producing Enterobacteriaceae in the rest of the word appears to be somewhat limited. VIM-producing enterobacteria can be frequently isolated in Mediterranean countries, reaching epidemic proportions in Greece. Isolation of VIM-producing strains remains low in Northern Europe and in the United States. In stark contrast, a characteristic of NDM-producing K. pneumonia isolates has been their rapid dissemination from their epicenter, the Indian subcontinent, to Western Europe, North America, Australia and Far East. Moreover, NDM genes have spread rapidly to various species other than K. pneumonia.

The plasmid-expressed class D carbapenemases belong to OXA-48 type. OXA-48 producing K. pneumonia was first detected in Turkey, in 2001. The Middle East and North Africa remain the main centers of infection. However, recent isolation of OXA-48-type producing organisms in India, Senegal and Argentina suggest the possibility of a global expansion. Isolation of OXA-48 in bacteria other than K. pneumonia underlines the spreading potential of OXA-48.

Treatment of strains producing any of these carbapenemases with carbapenems can be associated with poor outcomes.

Another mechanism of β-lactamase mediated resistance to carbapenems involves combination of permeability or efflux mechanisms combined with hyper production of beta-lactamases. One example is the loss of a porin combined in hyperproduction of ampC beta-lactamase results in resistance to imipenem in Pseudomonas aeruginosa. Efflux pump over expression combined with hyperproduction of the ampC β-lactamase can also result in resistance to a carbapenem such as meropenem.

Thus, there is a need for improved β-lactamase inhibitors (BLIs).

SUMMARY

Some embodiments described herein relate to compounds having the structure of the Formula I or II, or pharmaceutically acceptable salts thereof:

wherein

Y¹ is N or CR⁴;

m is an integer of 0 or 1;

(a)

-   -   R² and R³ together with the atoms to which they are attached         form a fused ring or ring system selected from the group         consisting of C₃₋₇carbocyclyl, 3-10 membered heterocyclyl, C₆₋₁₀         aryl, and 5-10 membered heteroaryl, each optionally substituted         with one or more R⁵, and     -   each of R¹, R⁴, R^(a), and R^(b) is independently selected from         the group consisting of H, amino, halogen, cyano, hydroxy,         optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆         haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally         substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆         alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀ alkenyl,         optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇         carbocyclyl, optionally substituted 3-10 membered heterocyclyl,         optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10         membered heteroaryl, optionally substituted (C₃₋₇         carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered         heterocyclyl)C₁₋₆ alkyl, optionally substituted (C₆₋₁₀ aryl)C₁₋₆         alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10         membered heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy, O-carboxy,         C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c),         —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g),         —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c),         —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)),         —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and         —NR^(f)S(O)₂NR^(f)OR^(d); or

(b)

-   -   R³ and R⁴ together with the atoms to which they are attached         form a spirocyclic ring or ring system selected from the group         consisting of C₃₋₇ carbocyclyl and 3-10 membered heterocyclyl,         each optionally substituted with one or more R⁵, and     -   each of R¹, R², R^(a), and R^(b) is independently selected from         the group consisting of H, amino, halogen, cyano, hydroxy,         optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆         haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally         substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆         alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl,         optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇         carbocyclyl, optionally substituted 3-10 membered heterocyclyl,         optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10         membered heteroaryl, optionally substituted (C₃₋₇         carbocyclyl)C₁₋₆ alkyl, optionally substituted (3-10 membered         heterocyclyl)C₁₋₆ alkyl, optionally substituted (C₆₋₁₀ aryl)C₁₋₆         alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10         membered heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy, O-carboxy,         C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c),         —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g),         —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c),         —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)),         —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and         —NR^(f)S(O)₂NR^(f)OR^(d); or

(c)

-   -   R¹ and R² together with the atoms to which they are attached         form a spirocyclic ring or ring system selected from the group         consisting of C₃₋₇ carbocyclyl and 3-10 membered heterocyclyl,         each optionally substituted with one or more R⁵, and     -   each of R³, R⁴, R^(a), and R^(b) is independently selected from         the group consisting of H, amino, halogen, cyano, hydroxy,         optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆         haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally         substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆         alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl,         optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇         carbocyclyl, optionally substituted 3-10 membered heterocyclyl,         optionally substituted C₆₋₁₀aryl, optionally substituted 5-10         membered heteroaryl, optionally substituted (C₃₋₇         carbocyclyl)C₁₋₆ alkyl, optionally substituted (3-10 membered         heterocyclyl)C₁₋₆ alkyl, optionally substituted (C₆₋₁₀ aryl)C₁₋₆         alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10         membered heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy, O-carboxy,         C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c),         —C(O)(CH₂)₁₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g),         —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c),         —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)),         —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and         —NR^(f)S(O)₂NR^(f)OR^(d); or

(d)

-   -   R^(a) and R^(b) together with the atoms to which they are         attached form a spirocyclic ring or ring system selected from         the group consisting of C₃₋₇ carbocyclyl and 3-10 membered         heterocyclyl, each optionally substituted with one or more R⁵,         and     -   each of R¹, R², R³, and R⁴ is independently selected from the         group consisting of H, amino, halogen, cyano, hydroxy,         optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆         haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally         substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆         alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl,         optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇         carbocyclyl, optionally substituted 3-10 membered heterocyclyl,         optionally substituted C₆₋₁₀aryl, optionally substituted 5-10         membered heteroaryl, optionally substituted (C₃₋₇         carbocyclyl)C₁₋₆ alkyl, optionally substituted (3-10 membered         heterocyclyl)C₁₋₆ alkyl, optionally substituted (C₆₋₁₀ aryl)C₁₋₆         alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10         membered heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy, O-carboxy,         C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c),         —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g),         —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c),         —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)),         —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and         —NR^(f)S(O)₂NR^(f)OR^(d); or

(e)

-   -   R^(a) and R⁴ together with the atoms to which they are attached         form a fused ring or ring system selected from the group         consisting of C₃₋₇ carbocyclyl, 3-10 membered heterocyclyl,         C₆₋₁₀ aryl, and 5-10 membered heteroaryl, each optionally         substituted with one or more R⁵, and     -   each of R¹, R², R³, and R^(b) is independently selected from the         group consisting of H, amino, halogen, cyano, hydroxy,         optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆         haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally         substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆         alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl,         optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇         carbocyclyl, optionally substituted 3-10 membered heterocyclyl,         optionally substituted C₆₋₁₀aryl, optionally substituted 5-10         membered heteroaryl, optionally substituted (C₃₋₇         carbocyclyl)C₁₋₆ alkyl, optionally substituted (3-10 membered         heterocyclyl)C₁₋₆ alkyl, optionally substituted (C₆₋₁₀ aryl)C₁₋₆         alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10         membered heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy, O-carboxy,         C-amido, N-amido, S-sulfonamido, N-sulfonamido,         —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g),         —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c),         —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)),         —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and         —NR^(f)S(O)₂NR^(f)OR^(d);     -   R⁵ is —Y⁵—(CH₂)_(t)G;     -   t is an integer of 0 or 1;     -   G is selected from the group consisting of H, amino, halogen,         cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally         substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy,         optionally substituted C₁₋₆ haloalkoxy, optionally substituted         (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl,         optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇         carbocyclyl, optionally substituted 3-10 membered heterocyclyl,         optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10         membered heteroaryl, optionally substituted (C₃₋₇         carbocyclyl)C₁₋₆ alkyl, optionally substituted (3-10 membered         heterocyclyl)C₁₋₆ alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆         alkyl, (C₆₋₁₀aryl)C₁₋₆ alkoxy, optionally substituted (5-10         membered heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy, O-carboxy,         C-amido, N-amido, S-sulfonamido, N-sulfonamido,         —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g),         —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c),         —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)),         —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and         —NR^(f)S(O)₂NR^(f)OR^(d);     -   A is selected from the group consisting of C₃₋₇ carbocyclyl,         3-10 membered heterocyclyl, C₆₋₁₀ aryl, and 5-10 membered         heteroaryl, each optionally substituted by one or more R¹²;     -   R⁶ is selected from the group consisting of H, halogen,         optionally substituted C₁₋₆ alkyl, OH, —C(O)OR, optionally         substituted C₁₋₆ alkoxy, amino, —N(OR⁸)R⁹, optionally         substituted C₁₋₆ alkylthiol, C-amido, S-sulfonamido, CN,         sulfinyl, sulfonyl, and a carboxylic acid isostere;     -   R is selected from the group consisting of H, C₁₋₉ alkyl,         —CR¹⁰R¹¹OC(O)C₁₋₉alkyl, —CR¹⁰R¹¹OC(O)C₃₋₇ carbocyclyl,         —CR¹⁰R¹¹OC(O)(3 to 7 membered heterocyclyl), —CR¹⁰R¹¹OC(O)C₂₋₈         alkoxyalkyl, —CR¹⁰R¹¹OC(O)OC₁₋₉alkyl,         —CR¹⁰R¹¹OC(O)OC₃₋₇carbocyclyl, —CR¹⁰R¹¹OC(O)O(3 to 7 membered         heterocyclyl), —CR¹⁰R¹¹OC(O)OC₂₋₈alkoxyalkyl, —CR¹⁰R¹¹OC(O)C₆₋₁₀         aryl, —CR¹⁰R¹¹OC(O)OC₆₋₁₀aryl, —CR¹⁰R¹¹C(O)NR¹³R¹⁴,         —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)NR¹³R¹⁴,         —CR¹⁰R¹¹OC(O)O(CH₂)₂₋₃OC(O)C₁₋₄ alkyl,         —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)OC₁₋₄ alkyl,         —CR¹⁰R¹¹OC(O)(CH₂)₁₋₃OC(O)C₁₋₄ alkyl, and

-   -   R⁷ is selected from the group consisting of —OH, optionally         substituted C₁₋₆ alkoxy, amino, and N(OR⁸)R⁹;     -   each R⁸ and R⁹ is independently selected from the group         consisting of H, halogen, optionally substituted C₁₋₄alkyl,         optionally substituted C₃₋₇ carbocyclyl, optionally substituted         3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl,         and optionally substituted 5-10 membered heteroaryl;     -   each R¹⁰ and R¹¹ is independently selected from the group         consisting of H, optionally substituted C₁₋₄alkyl, optionally         substituted C₃₋₇ carbocyclyl, optionally substituted 3-10         membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and         optionally substituted 5-10 membered heteroaryl;     -   R¹² is selected from the group consisting of hydrogen, amino,         halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl,         optionally substituted C₁₋₆ haloalkyl, optionally substituted         C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally         substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted         C₂₋₁₀ alkenyl, optionally substituted C₂₋₁₀ alkynyl, optionally         substituted C₃₋₇ carbocyclyl, optionally substituted 3-10         membered heterocyclyl, optionally substituted C₆₋₁₀ aryl,         optionally substituted 5-10 membered heteroaryl, optionally         substituted (C₃₋₇ carbocyclyl)C₁₋₆ alkyl, optionally substituted         (3-10 membered heterocyclyl)C₁₋₆ alkyl, optionally substituted         (C₆₋₁₀aryl)C₁₋₆ alkyl, (C₆₋₁₀aryl)C₁₋₆ alkoxy, optionally         substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl,         C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido,         N-sulfonamido, sulfhydryl, —C(O)(CH₂)₀₋₃SR^(c),         —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)         S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g),         —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g),         —S(O)(CH₂)₁₋₃R^(c), —NR^(f)S(O)₂NR^(f)OR^(d), and         —(CH₂)_(p)—Y⁶—(CH₂)_(q)K;     -   each R¹³ and R¹⁴ is independently selected from the group         consisting of H, optionally substituted C₁₋₆alkyl, optionally         substituted C₃₋₇ carbocyclyl, optionally substituted 3-10         membered heterocyclyl, optionally substituted C₆₋₁₀ aryl, and         optionally substituted 5-10 membered heteroaryl;     -   R¹⁵ is optionally substituted C₁₋₆ alkyl;     -   Y² is selected from the group consisting of —O—, —S—, and —NR⁹—;     -   Y³ is selected from the group consisting of —OH, —SH, and —NHR⁹;     -   Y⁴ is selected from the group consisting of —OH, optionally         substituted C₁₋₆ alkoxy, amino, and —N(OR⁸)R⁹; and     -   Y⁵ is selected from the group consisting of —S—, —S(O)—,         —S(O)₂—, —O—, —CR^(f)R^(g)—, and —NR^(g)—, or Y⁵ is absent;     -   Y⁶ is selected from the group consisting of —S—, —S(O)—,         —S(O)₂—, —O—, —CR^(f)R^(g)—, and —NR^(f)—;     -   K is selected from the group consisting of C-amido; N-amido;         S-sulfonamido; N-sulfonamido; —NR^(f)C(O)NR^(f)R^(g); —NR^(f)         S(O)₂NR^(f)R^(g); —C(═NR^(e))R^(c); —C(═NR^(e))NR^(f)R^(g);         —NR^(f)CR^(c)(═NR^(e)); —NR^(f)C(═NR^(e))NR^(f)R^(g); C₁₋₄ alkyl         optionally substituted with 0-2 substituents selected from the         group consisting of C₁₋₄ alkoxy, amino, halogen, C-amido, and         N-amido; C₆₋₁₀ aryl optionally substituted with 0-2 substituents         selected from the group consisting of C₁₋₄ alkyl, C₁₋₄ alkoxy,         amino, halogen, C-amido, and N-amido; C₃₋₇ carbocyclyl         optionally substituted with 0-2 substituents selected from the         group consisting of C₁₋₄ alkyl, C₁₋₄ alkoxy, amino, halogen,         C-amido, and N-amido; 5-10 membered heteroaryl optionally         substituted with 0-2 substituents selected from the group         consisting of C₁₋₄ alkyl, C₁₋₄ alkoxy, amino, halogen, C-amido,         and N-amido; and 3-10 membered heterocyclyl optionally         substituted with 0-2 substituents selected from the group         consisting of C₁₋₄ alkyl, C₁₋₄ alkoxy, amino, halogen, C-amido,         and N-amido;     -   each R^(c), R^(d), R^(e), R^(f), and R^(g) are independently         selected from the group consisting of H, halogen, optionally         substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl,         optionally substituted 3-10 membered heterocyclyl, optionally         substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered         heteroaryl; and     -   each p and q is independently 0 or 1.

Some embodiments described herein relate to compounds having the structure of the Formula III or IV, or pharmaceutically acceptable salts thereof:

wherein

(a)

-   -   each of R² and R³ is independently selected from the group         consisting of H, amino, halogen, cyano, hydroxy, optionally         substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl,         optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆         haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl,         optionally substituted C₂₋₁₀ alkenyl, optionally substituted         C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl,         optionally substituted 3-10 membered heterocyclyl, optionally         substituted C₆₋₁₀aryl, optionally substituted 5-10 membered         heteroaryl, optionally substituted (C₃₋₇ carbocyclyl)C₁₋₆alkyl,         optionally substituted (3-10 membered heterocyclyl)C₁₋₆ alkyl,         optionally substituted (C₆₋₁₀ aryl)C₁₋₆ alkyl,         (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered         heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy, O-carboxy, C-amido,         N-amido, S-sulfonamido, N-sulfonamido, —SR^(c),         —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g),         —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c),         —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)),         —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and         —NR^(f)S(O)₂NR^(f)OR^(d), or R² and R³ together with the atoms         to which they are attached form a fused ring or ring system         selected from the group consisting of C₃₋₇ carbocyclyl, 3-10         membered heterocyclyl, C₆₋₁₀ aryl, and 5-10 membered heteroaryl,         each optionally substituted with one or more R⁵;     -   m is an integer of 0 or 1; and     -   each R^(a) and R^(b) is independently selected from the group         consisting of H, amino, halogen, cyano, hydroxy, optionally         substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl,         optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆         haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl,         optionally substituted C₂₋₁₀alkenyl, optionally substituted         C₂₋₁₀ alkynyl, optionally substituted C₃₋₇ carbocyclyl,         optionally substituted 3-10 membered heterocyclyl, optionally         substituted C₆₋₁₀aryl, optionally substituted 5-10 membered         heteroaryl, optionally substituted (C₃₋₇ carbocyclyl)C₁₋₆alkyl,         optionally substituted (3-10 membered heterocyclyl)C₁₋₆ alkyl,         optionally substituted (C₆₋₁₀ aryl)C₁₋₆ alkyl,         (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered         heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy, O-carboxy, C-amido,         N-amido, S-sulfonamido, N-sulfonamido, —SR^(c),         —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g),         —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c),         —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)),         —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and         —NR^(f)S(O)₂NR^(f)OR^(d), or R^(a) and R^(b) together with the         atoms to which they are attached form a spiro ring or ring         system selected from the group consisting of C₃₋₇ carbocyclyl         and 3-10 membered heterocyclyl, each optionally substituted with         one or more R⁵; or

(b)

-   -   m is 1;     -   R^(a) and R³ together with the atoms to which they are attached         form a fused ring or ring system selected from the group         consisting of C₃₋₇ carbocyclyl and 3-10 membered heterocyclyl,         each optionally substituted with one or more R⁵; and     -   each R² and R^(b) is independently selected from the group         consisting of H, amino, halogen, cyano, hydroxy, optionally         substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl,         optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆         haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl,         optionally substituted C₂₋₁₀alkenyl, optionally substituted         C₂₋₁₀ alkynyl, optionally substituted C₃₋₇ carbocyclyl,         optionally substituted 3-10 membered heterocyclyl, optionally         substituted C₆₋₁₀aryl, optionally substituted 5-10 membered         heteroaryl, optionally substituted (C₃₋₇ carbocyclyl)C₁₋₆alkyl,         optionally substituted (3-10 membered heterocyclyl)C₁₋₆ alkyl,         optionally substituted (C₆₋₁₀ aryl)C₁₋₆ alkyl,         (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered         heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy, O-carboxy, C-amido,         N-amido, S-sulfonamido, N-sulfonamido, —SR^(c),         —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g),         —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c),         —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)),         —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and         —NR^(f)S(O)₂NR^(f)OR^(d);     -   R⁵ is —Y⁵—(CH₂)_(t)G;     -   t is an integer of 0 or 1;     -   G is selected from the group consisting of H, amino, halogen,         cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally         substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy,         optionally substituted C₁₋₆ haloalkoxy, optionally substituted         (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀ alkenyl,         optionally substituted C₂₋₁₀ alkynyl, optionally substituted         C₃₋₇ carbocyclyl, optionally substituted 3-10 membered         heterocyclyl, optionally substituted C₆₋₁₀ aryl, optionally         substituted 5-10 membered heteroaryl, optionally substituted         (C₃₋₇ carbocyclyl)C₁₋₆ alkyl, optionally substituted (3-10         membered heterocyclyl)C₁₋₆ alkyl, optionally substituted (C₆₋₁₀         aryl)C₁₋₆ alkyl, (C₆₋₁₀ aryl)C₁₋₆ alkoxy, optionally substituted         (5-10 membered heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy,         O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR′,         —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g),         —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c),         —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)),         —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and         —NR^(f)S(O)₂NR^(f)OR^(d);     -   A is a ring system selected from the group consisting of C₃₋₇         carbocyclyl, 3-10 membered heterocyclyl, C₆₋₁₀ aryl, and 5-10         membered heteroaryl, each optionally substituted with one or         more R¹²;     -   R⁶ is selected from the group consisting of H, halogen,         optionally substituted C₁₋₆ alkyl, OH, —C(O)OR, optionally         substituted C₁₋₆ alkoxy, amino, —N(OR⁸)R⁹, optionally         substituted C₁₋₆ alkylthiol, C-amido, S-sulfonamido, CN,         sulfinyl, sulfonyl, and a carboxylic acid isostere;     -   R is selected from the group consisting of H, C₁₋₉ alkyl,         —CR¹⁰R¹¹OC(O)C₁₋₉alkyl, —CR¹⁰R¹¹OC(O)C₃₋₇ carbocyclyl,         —CR¹⁰R¹¹OC(O)(3 to 7 membered heterocyclyl), —CR¹⁰R¹¹OC(O)C₂₋₈         alkoxyalkyl, —CR¹⁰R¹¹OC(O)OC₁₋₉alkyl,         —CR¹⁰R¹¹OC(O)OC₃₋₇carbocyclyl, —CR¹⁰R¹¹OC(O)O(3 to 7 membered         heterocyclyl), —CR¹⁰R¹¹OC(O)OC₂₋₈alkoxyalkyl, —CR¹⁰R¹¹OC(O)C₆₋₁₀         aryl, —CR¹⁰R¹¹OC(O)OC₆₋₁₀aryl, —CR¹⁰R¹¹C(O)NR¹³R¹⁴,         —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)NR¹³R¹⁴,         —CR¹⁰R¹¹OC(O)O(CH₂)₂₋₃OC(O)C₁₋₄ alkyl,         —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)OC₁₋₄ alkyl,         —CR¹⁰R¹¹OC(O)(CH₂)₁₋₃OC(O)C₁₋₄ alkyl, and

-   -   R⁷ is selected from the group consisting of —OH, optionally         substituted C₁₋₆ alkoxy, amino, and —N(OR⁸)R⁹;     -   each R⁸ and R⁹ is independently selected from the group         consisting of H, halogen, optionally substituted C₁₋₄alkyl,         optionally substituted C₃₋₇ carbocyclyl, optionally substituted         3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl,         and optionally substituted 5-10 membered heteroaryl;     -   each R¹⁰ and R¹¹ is independently selected from the group         consisting of H, optionally substituted C₁₋₄alkyl, optionally         substituted C₃₋₇ carbocyclyl, optionally substituted 3-10         membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and         optionally substituted 5-10 membered heteroaryl;     -   R¹² is selected from the group consisting of hydrogen, amino,         halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl,         optionally substituted C₁₋₆ haloalkyl, optionally substituted         C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally         substituted C₁₋₆ alkylthiol, optionally substituted (C₁₋₆         alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀ alkenyl,         optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇         carbocyclyl, optionally substituted 3-10 membered heterocyclyl,         optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10         membered heteroaryl, optionally substituted         (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10         membered heterocyclyl)C₁₋₆alkyl, optionally substituted         (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀ aryl)C₁₋₆alkoxy, optionally         substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl,         C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido,         N-sulfonamido, sulfhydryl, —C(O)(CH₂)₀₋₃SR^(c),         —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g),         —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c),         —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)),         —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c),         —NR^(f)S(O)₂NR^(f)OR^(d), and —(CH₂)_(p)—Y⁶—(CH₂)_(q)K;     -   each R¹³ and R¹⁴ is independently selected from the group         consisting of H, optionally substituted C₁₋₆alkyl, optionally         substituted C₃₋₇ carbocyclyl, optionally substituted 3-10         membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and         optionally substituted 5-10 membered heteroaryl;     -   R¹⁵ is optionally substituted C₁₋₆ alkyl;     -   Y² is selected from the group consisting of —O—, —S—, and —NR⁹—;     -   Y³ is selected from the group consisting of —OH, —SH, and —NHR⁹;     -   Y⁴ is selected from the group consisting of —OH, optionally         substituted C₁₋₆ alkoxy, amino, and —N(OR⁸)R⁹;     -   Y⁵ is selected from the group consisting of —S—, —S(O)—,         —S(O)₂—, —O—, —CR^(f)R^(g)—, and —NR^(g)—, or Y⁵ is absent;     -   Y⁶ is selected from the group consisting of —S—, —S(O)—,         —S(O)₂—, —O—, —CR^(f)R^(g)—, and —NR^(f)—;     -   K is selected from the group consisting of C-amido; N-amido;         S-sulfonamido; N-sulfonamido; —NR^(f)C(O)NR^(f)R^(g); —NR^(f)         S(O)₂NR^(f)R^(g); —C(═NR^(e))R^(c); —C(═NR^(e))NR^(f)R^(g);         —NR^(f)CR^(c)(═NR^(e)); —NR^(f)C(═NR^(e))NR^(f)R^(g); C₁₋₄ alkyl         optionally substituted with 0-2 substituents selected from the         group consisting of C₁₋₄ alkoxy, amino, halogen, C-amido, and         N-amido; C₆₋₁₀ aryl optionally substituted with 0-2 substituents         selected from the group consisting of C₁₋₄ alkyl, C₁₋₄ alkoxy,         amino, halogen, C-amido, and N-amido; C₃₋₇ carbocyclyl         optionally substituted with 0-2 substituents selected from the         group consisting of C₁₋₄ alkyl, C₁₋₄ alkoxy, amino, halogen,         C-amido, and N-amido; 5-10 membered heteroaryl optionally         substituted with 0-2 substituents selected from the group         consisting of C₁₋₄ alkyl, C₁₋₄ alkoxy, amino, halogen, C-amido,         and N-amido; and 3-10 membered heterocyclyl optionally         substituted with 0-2 substituents selected from the group         consisting of C₁₋₄ alkyl, C₁₋₄ alkoxy, amino, halogen, C-amido,         and N-amido;     -   each R^(c), R^(d), R^(e), R^(f), and R^(g) are independently         selected from the group consisting of H, halogen, optionally         substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl,         optionally substituted 3-10 membered heterocyclyl, optionally         substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered         heteroaryl; and     -   each p and q is independently 0 or 1.

Some further embodiments described herein relate to compounds having the structure of the Formula V, or pharmaceutically acceptable salts thereof

wherein

-   -   Y¹ is N or CR⁴;     -   m is an integer of 0 or 1;     -   r is an integer of 0 or 1;

(a)

-   -   R² and R³ together with the atoms to which they are attached         form a fused ring or ring system selected from the group         consisting of C₃₋₇carbocyclyl, 3-10 membered heterocyclyl, C₆₋₁₀         aryl, and 5-10 membered heteroaryl, each optionally substituted         with one or more R⁵, and     -   each of R¹, R⁴, R^(a), and R^(b) is independently selected from         the group consisting of H, amino, halogen, cyano, hydroxy,         optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆         haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally         substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆         alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl,         optionally substituted C₂₋₁₀ alkynyl, optionally substituted         C₃₋₇ carbocyclyl, optionally substituted 3-10 membered         heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally         substituted 5-10 membered heteroaryl, optionally substituted         (C₃₋₇ carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10         membered heterocyclyl)C₁₋₆ alkyl, optionally substituted (C₆₋₁₀         aryl)C₁₋₆ alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted         (5-10 membered heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy,         O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido,         —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d),         —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g),         —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g),         —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g),         —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d); or

(b)

-   -   R³ and R⁴ together with the atoms to which they are attached         form a spirocyclic ring or ring system selected from the group         consisting of C₃₋₇ carbocyclyl and 3-10 membered heterocyclyl,         each optionally substituted with one or more R⁵, and     -   each of R¹, R², R^(a), and R^(b) is independently selected from         the group consisting of H, amino, halogen, cyano, hydroxy,         optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆         haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally         substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆         alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl,         optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇         carbocyclyl, optionally substituted 3-10 membered heterocyclyl,         optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10         membered heteroaryl, optionally substituted (C₃₋₇         carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered         heterocyclyl)C₁₋₆ alkyl, optionally substituted (C₆₋₁₀ aryl)C₁₋₆         alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10         membered heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy, O-carboxy,         C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c),         —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g),         —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c),         —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)),         —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and         —NR^(f)S(O)₂NR^(f)OR^(d); or

(c)

-   -   R¹ and R² together with the atoms to which they are attached         form a spirocyclic ring or ring system selected from the group         consisting of C₃₋₇ carbocyclyl and 3-10 membered heterocyclyl,         each optionally substituted with one or more R⁵, and     -   each of R³, R⁴, R^(a), and R^(b) is independently selected from         the group consisting of H, amino, halogen, cyano, hydroxy,         optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆         haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally         substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆         alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl,         optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇         carbocyclyl, optionally substituted 3-10 membered heterocyclyl,         optionally substituted C₆₋₁₀aryl, optionally substituted 5-10         membered heteroaryl, optionally substituted (C₃₋₇         carbocyclyl)C₁₋₆ alkyl, optionally substituted (3-10 membered         heterocyclyl)C₁₋₆ alkyl, optionally substituted (C₆₋₁₀ aryl)C₁₋₆         alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10         membered heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy, O-carboxy,         C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c),         —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g),         —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c),         —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)),         —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and         —NR^(f)S(O)₂NR^(f)OR^(d); or

(d)

-   -   R^(a) and R^(b) together with the atoms to which they are         attached form a spirocyclic ring or ring system selected from         the group consisting of C₃₋₇ carbocyclyl and 3-10 membered         heterocyclyl, each optionally substituted with one or more R⁵,         and     -   each of R¹, R², R³, and R⁴ is independently selected from the         group consisting of H, amino, halogen, cyano, hydroxy,         optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆         haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally         substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆         alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl,         optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇         carbocyclyl, optionally substituted 3-10 membered heterocyclyl,         optionally substituted C₆₋₁₀aryl, optionally substituted 5-10         membered heteroaryl, optionally substituted (C₃₋₇         carbocyclyl)C₁₋₆ alkyl, optionally substituted (3-10 membered         heterocyclyl)C₁₋₆ alkyl, optionally substituted (C₆₋₁₀ aryl)C₁₋₆         alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10         membered heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy, O-carboxy,         C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c),         —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)¹⁻³R^(d), —NR^(f)C(O)NR^(f)R^(g),         —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c),         —C(═NR^(c))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)),         —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and         —NR^(f)S(O)₂NR^(f)OR^(d); or

(e)

-   -   R^(a) and R⁴ together with the atoms to which they are attached         form a fused ring or ring system selected from the group         consisting of C₃₋₇ carbocyclyl, 3-10 membered heterocyclyl,         C₆₋₁₀ aryl, and 5-10 membered heteroaryl, each optionally         substituted with one or more R⁵, and     -   each of R¹, R², R³, and R^(b) is independently selected from the         group consisting of H, amino, halogen, cyano, hydroxy,         optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆         haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally         substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆         alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl,         optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇         carbocyclyl, optionally substituted 3-10 membered heterocyclyl,         optionally substituted C₆₋₁₀aryl, optionally substituted 5-10         membered heteroaryl, optionally substituted (C₃₋₇         carbocyclyl)C₁₋₆ alkyl, optionally substituted (3-10 membered         heterocyclyl)C₁₋₆ alkyl, optionally substituted (C₆₋₁₀ aryl)C₁₋₆         alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10         membered heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy, O-carboxy,         C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c),         —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g),         —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c),         —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)),         —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and         —NR^(f)S(O)₂NR^(f)OR^(d);     -   R⁵ is —Y⁵—(CH₂)_(t)G;     -   t is an integer of 0 or 1;     -   G is selected from the group consisting of H, amino, halogen,         cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally         substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy,         optionally substituted C₁₋₆ haloalkoxy, optionally substituted         (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl,         optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇         carbocyclyl, optionally substituted 3-10 membered heterocyclyl,         optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10         membered heteroaryl, optionally substituted (C₃₋₇         carbocyclyl)C₁₋₆ alkyl, optionally substituted (3-10 membered         heterocyclyl)C₁₋₆ alkyl, optionally substituted (C₆₋₁₀         aryl)C₁₋₆alkyl, (C₆₋₁₀ aryl)C₁₋₆alkoxy, optionally substituted         (5-10 membered heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy,         O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido,         —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d),         —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g),         —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g),         —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g),         —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d);     -   R⁶ is selected from the group consisting of optionally         substituted —(CH₂)nC(O)OR and a carboxylic acid isostere;     -   n is an integer selected from 0 to 6;     -   R is selected from the group consisting of H, C₁₋₉ alkyl,         —CR¹⁰R¹¹OC(O)C₁₋₉alkyl, —CR¹⁰R¹¹OC(O)C₃₋₇ carbocyclyl,         —CR¹⁰R¹¹OC(O)(3 to 7 membered heterocyclyl), —CR¹⁰R¹¹OC(O)C₂₋₈         alkoxyalkyl, —CR¹⁰R¹¹OC(O)OC₁₋₉alkyl,         —CR¹⁰R¹¹OC(O)OC₃₋₇carbocyclyl, —CR¹⁰R¹¹OC(O)O(3 to 7 membered         heterocyclyl), —CR¹⁰R¹¹OC(O)OC₂₋₈alkoxyalkyl, —CR¹⁰R¹¹OC(O)C₆₋₁₀         aryl, —CR¹⁰R¹¹OC(O)OC₆₋₁₀aryl, —CR¹⁰R¹¹C(O)NR¹³R¹⁴,         —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)NR¹³R¹⁴,         —CR¹⁰R¹¹OC(O)O(CH₂)₂₋₃OC(O)C₁₋₄ alkyl,         —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)OC₁₋₄ alkyl,         —CR¹⁰R¹¹OC(O)(CH₂)₁₋₃OC(O)C₁₋₄ alkyl, and

-   -   R⁷ is selected from the group consisting of —OH, optionally         substituted C₁₋₆ alkoxy, amino, and —N(OR⁸)R⁹;     -   each R⁸ and R⁹ is independently selected from the group         consisting of H, halogen, optionally substituted C₁₋₄alkyl,         optionally substituted C₃₋₇ carbocyclyl, optionally substituted         3-10 membered heterocyclyl, optionally substituted C₆₋₁₀ aryl,         and optionally substituted 5-10 membered heteroaryl;     -   each R¹⁰ and R¹¹ is independently selected from the group         consisting of H, optionally substituted C₁₋₄alkyl, optionally         substituted C₃₋₇ carbocyclyl, optionally substituted 3-10         membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and         optionally substituted 5-10 membered heteroaryl;     -   each R¹³ and R¹⁴ is independently selected from the group         consisting of H, optionally substituted C₁₋₆alkyl, optionally         substituted C₃₋₇ carbocyclyl, optionally substituted 3-10         membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and         optionally substituted 5-10 membered heteroaryl;     -   R¹⁵ is optionally substituted C₁₋₆ alkyl;     -   Y² is selected from the group consisting of —O—, —S—, and —NR⁹—;     -   Y⁵ is selected from the group consisting of —S—, —S(O)—,         —S(O)₂—, —O—, —CR^(f)R^(g)—, and —NR^(g)—, or Y⁵ is absent;     -   each R^(c), R^(d), R^(e), R^(f), and R^(g) are independently         selected from the group consisting of H, halogen, optionally         substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl,         optionally substituted 3-10 membered heterocyclyl, optionally         substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered         heteroaryl; and     -   each R^(h) and R^(i) is independently selected from the group         consisting of H, halogen, cyano, amino, C-amido, N-amido,         optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇         carbocyclyl, optionally substituted 3-10 membered heterocyclyl,         optionally substituted C₆₋₁₀aryl, and optionally substituted         5-10 membered heteroaryl; or R^(h) and R^(i) together with the         atoms to which they are attached form a spirocyclic ring or ring         system selected from the group consisting of C₃₋₇ carbocyclyl,         3-10 membered heterocyclyl, C₆₋₁₀ aryl, and 5-10 membered         heteroaryl, each optionally substituted with one or more R⁵.

Some embodiments described herein relate to compounds having the structure of Formula VI, or pharmaceutically acceptable salts thereof:

wherein r is an integer of 0 or 1;

(a)

-   -   each of R² and R³ is independently selected from the group         consisting of H, amino, halogen, cyano, hydroxy, optionally         substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl,         optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆         haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl,         optionally substituted C₂₋₁₀alkenyl, optionally substituted         C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl,         optionally substituted 3-10 membered heterocyclyl, optionally         substituted C₆₋₁₀ aryl, optionally substituted 5-10 membered         heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆ alkyl,         optionally substituted (3-10 membered heterocyclyl)C₁₋₆ alkyl,         optionally substituted (C₆₋₁₀ aryl)C₁₋₆alkyl, (C₆₋₁₀         aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered         heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy, O-carboxy, C-amido,         N-amido, S-sulfonamido, N-sulfonamido, —SR^(c),         —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g),         —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c),         —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)),         —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and         —NR^(f)S(O)₂NR^(f)OR^(d), or R² and R³ together with the atoms         to which they are attached form a fused ring or ring system         selected from the group consisting of C₃₋₇ carbocyclyl and 3-10         membered heterocyclyl, each optionally substituted with one or         more R⁵;     -   m is an integer of 0 or 1;     -   each R^(a) and R^(b) is independently selected from the group         consisting of H, amino, halogen, cyano, hydroxy, optionally         substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl,         optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆         haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl,         optionally substituted C₂₋₁₀alkenyl, optionally substituted         C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl,         optionally substituted 3-10 membered heterocyclyl, optionally         substituted C₆₋₁₀ aryl, optionally substituted 5-10 membered         heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆ alkyl,         optionally substituted (3-10 membered heterocyclyl)C₁₋₆ alkyl,         optionally substituted (C₆₋₁₀ aryl)C₁₋₆alkyl, (C₆₋₁₀         aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered         heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy, O-carboxy, C-amido,         N-amido, S-sulfonamido, N-sulfonamido, —SR^(c),         —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g),         —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c),         —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)),         —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and         —NR^(f)S(O)₂NR^(f)OR^(d), or R^(a) and R^(b) together with the         atoms to which they are attached form a ring or ring system         selected from the group consisting of C₃₋₇ carbocyclyl, and 3-10         membered heterocyclyl, each optionally substituted with one or         more R⁵; or

(b)

-   -   m is 1;     -   R^(a) and R³ together with the atoms to which they are attached         form a ring or ring system selected from the group consisting of         C₃₋₇ carbocyclyl, and 3-10 membered heterocyclyl, each         optionally substituted with one or more R⁵; and each R² and         R^(b) is independently selected from the group consisting of H,         amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆         alkyl, optionally substituted C₁₋₆ haloalkyl, optionally         substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy,         optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally         substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀ alkynyl,         optionally substituted C₃₋₇ carbocyclyl, optionally substituted         3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl,         optionally substituted 5-10 membered heteroaryl, optionally         substituted (C₃₋₇carbocyclyl)C₁₋₆ alkyl, optionally substituted         (3-10 membered heterocyclyl)C₁₋₆ alkyl, optionally substituted         (C₆₋₁₀ aryl)C₁₋₆alkyl, (C₆₋₁₀ aryl)C₁₋₆alkoxy, optionally         substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl,         C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido,         N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d),         —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g),         —C(═NR^(c))R^(c), —C(═NR^(c))NR^(f)R^(g),         —NR^(f)CR^(c)(═NR^(c)), —NR^(f)C(═NR^(c))NR^(f)R^(g),         —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d);

R⁵ is —Y⁵—(CH₂)_(t)G;

t is an integer of 0 or 1;

G is selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇ carbocyclyl)C₁₋₆ alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆ alkyl, optionally substituted (C₆₋₁₀ aryl)C₁₋₆alkyl, (C₆₋₁₀ aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆ alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(c))R^(c), —C(═NR^(c))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(c)), —NR^(f)C(═NR^(c))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d);

R⁶ is selected from the group consisting of optionally substituted —(CH₂)nC(O)OR and a carboxylic acid isostere;

n is an integer selected from 0 to 6;

R is selected from the group consisting of H, C₁₋₉ alkyl, —CR¹⁰R¹¹OC(O)C₁₋₉alkyl, —CR¹⁰R¹¹OC(O)C₃₋₇ carbocyclyl, —CR¹⁰R¹¹OC(O)(3 to 7 membered heterocyclyl), —CR¹⁰R¹¹OC(O)C₂₋₈ alkoxyalkyl, —CR¹⁰R¹¹OC(O)OC₁₋₉alkyl, —CR¹⁰R¹¹OC(O)OC₃₋₇carbocyclyl, —CR¹⁰R¹¹OC(O)O(3 to 7 membered heterocyclyl), —CR¹⁰R¹¹OC(O)OC₂₋₈alkoxyalkyl, —CR¹⁰R¹¹OC(O)C₆₋₁₀ aryl, —CR¹⁰R¹¹OC(O)OC₆₋₁₀aryl, —CR¹⁰R¹¹C(O)NR¹³R¹⁴, —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)NR¹³R¹⁴, —CR¹⁰R¹¹OC(O)O(CH₂)₂₋₃OC(O)C₁₋₄ alkyl, —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)OC₁₋₄ alkyl, —CR¹⁰R¹¹OC(O)(CH₂)₁₋₃OC(O)C₁₋₄ alkyl, and

R⁷ is selected from the group consisting of —OH, optionally substituted C₁₋₆ alkoxy, amino, and —N(OR⁸)R⁹;

each R⁸ and R⁹ is independently selected from the group consisting of H, halogen, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl;

each R¹⁰ and R¹¹ is independently selected from the group consisting of H, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl;

each R¹³ and R¹⁴ is independently selected from the group consisting of H, optionally substituted C₁₋₆alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl;

R¹⁵ is optionally substituted C₁₋₆ alkyl;

Y² is selected from the group consisting of —O—, —S—, and —NR⁹—;

Y⁵ is selected from the group consisting of —S—, —S(O)—, —S(O)₂—, —O—, —CR^(f)R^(g)—, and —NR^(g)—, or Y⁵ is absent;

each R^(c), R^(d), R^(e), R^(f), and R^(g) are independently selected from the group consisting of H, halogen, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; and

each R^(h) and R^(i) is independently selected from the group consisting of H, halogen, cyano, amino, C-amido, N-amido, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; or R^(h) and R^(i) together with the atoms to which they are attached form a spirocyclic ring or ring system selected from the group consisting of C₃₋₇ carbocyclyl, 3-10 membered heterocyclyl, C₆₋₁₀ aryl, and 5-10 membered heteroaryl, each optionally substituted with one or more R⁵.

Some further embodiments described herein relate to pharmaceutical compositions comprising a therapeutically effective amount of a compound having the structure of Formula I, II, III, IV, V or VI, as described herein, or pharmaceutically acceptable salts thereof, and a pharmaceutically acceptable excipient. In some embodiments, the pharmaceutical composition may further comprise an additional medicament.

Some additional embodiments described herein relate to methods of treating a bacterial infection comprising administering a compound having the structure of Formula I, II, III, IV, V or VI as described herein, or pharmaceutically acceptable salts thereof to a subject in need thereof. In some embodiments, the method further comprises administering to the subject an additional medicament, for example, the additional medicament may be selected from an antibacterial agent, an antifungal agent, an antiviral agent, an anti-inflammatory agent, or an antiallergic agent.

DETAILED DESCRIPTION OF EMBODIMENTS Compounds of Formula I or II

In some embodiments, compounds that contain a boronic acid moiety are provided that act as antimicrobial agents and/or as potentiators of antimicrobial agents. Various embodiments of these compounds include compounds having the structures of Formula I or II as described above or pharmaceutically acceptable salts thereof. In some embodiments of the compounds of Formula I or II, R is selected from H, C₁₋₉ alkyl, —CR¹⁰R¹¹OC(O)C₁₋₉alkyl, —CR¹⁰R¹¹OC(O)OC₁₋₉alkyl, —CR¹⁰R¹¹OC(O)C₆₋₁₀ aryl, —CR¹⁰R¹¹OC(O)OC₆₋₁₀aryl and

In some embodiments, the compounds of Formula I or II are also represented by the structure of Formula Ia or IIa, or pharmaceutically acceptable salts thereof:

In some embodiments, the compounds of Formula Ia or Ha are also represented by the structure of Formula Ib or IIb, or pharmaceutically acceptable salts thereof:

wherein each J, L, M is independently selected from CR¹² or N (nitrogen).

In some embodiments, m is 0 and the compounds of Formula Ib or IIb are also represented by the structure of Formula Ic or IIc, or pharmaceutically acceptable salts thereof:

In some embodiments, the compounds of Formula Ic or IIc are in various stereoisomeric form, including those represented by the structure of Formula Ic-1, Ic-2, IIc-1 or IIc-2, or pharmaceutically acceptable salts thereof:

In some embodiments of the compounds of Formula I, Ia, Ib, Ic, II, IIa, IIb, or IIc, R² and R³ together with the atoms to which they are attached form a ring or ring system selected from the group consisting of C₃₋₇ carbocyclyl, 3-10 membered heterocyclyl, C₆₋₁₀ aryl, and 5-10 membered heteroaryl, each optionally substituted with one or more R⁵. In some such embodiments, R² and R³ together with the atoms to which they are attached form C₃₋₇ carbocyclyl optionally substituted with one or more R⁵. In some further embodiments, wherein R² and R³ together with the atoms to which they are attached form cyclopropyl, bicyclo[2.2.1]heptyl, bicyclo[2.2.1]heptenyl, tetrahydrofuranyl, or dihydrofuranyl, each optionally substituted with one or more R⁵. In some particular embodiments, the compound of Formula Ic or IIc is also represented by the structure of Formula Id or IId, or pharmaceutically acceptable salts thereof:

wherein the cyclopropyl moiety

is optionally substituted with one or more R⁵. In one embodiment,

is substituted with one R⁵. In another embodiment,

is substituted with two R⁵.

In some embodiments, the compounds of Formula Id or IId are in various stereoisomeric forms, including those represented by the structure of Formula Id-1, Id-2, IId-1 or IId-2, or pharmaceutically acceptable salts thereof:

In some embodiments of the compounds of Formula I, Ia, Ib, Ic, Id, II, IIa, IIb, IIc or IId as described herein, R¹ is hydrogen. In another embodiment, R¹ is an optionally substituted C₁₋₆ alkyl, for example, C₁₋₆ hydroxyalkyl.

In some embodiments of the compounds of Formula I, Ia, Ib, Ic, Id, II, IIa, IIb, IIc or IId as described herein, R⁴ is hydrogen.

In some other embodiments of the compounds of Formula I, Ia, Ib, Ic, II, IIa, IIb, or IIc, R³ and R⁴ together with the atoms to which they are attached form a spiro ring or ring system selected from the group consisting of C₃₋₇ carbocyclyl, and 3-10 membered heterocyclyl, each optionally substituted with one or more R⁵. In some such embodiments, R³ and R⁴ together with the atoms to which they are attached form C₃₋₇ carbocyclyl optionally substituted with one or more R⁵. In one embodiment, R³ and R⁴ together with the atoms to which they are attached form cyclopropyl optionally substituted with one or more R⁵. In some other embodiments, R³ and R⁴ together with the atoms to which they are attached form 3-10 membered heterocyclyl optionally substituted with one or more R⁵, for example, 3, 4, 5, 6, or 7 membered heterocyclyl comprising one, two or three heteroatoms selected from the group consisting of oxygen, nitrogen or sulfur. In some such embodiments, R¹ is hydrogen. In some such embodiments, R² is hydrogen.

In some embodiments of the compounds of Formula I, Ia, Ib, Ic, Id, II, IIa, IIb, IIc or IId as described herein, R⁶ is —C(O)OR. In some such embodiments, R is H or C₁₋₉ alkyl. In some other embodiments, R is —CR¹⁰R¹¹OC(O)C₁₋₉alkyl, —CR¹⁰R¹¹OC(O)C₃₋₇carbocyclyl, —CR¹⁰R¹¹OC(O)(3 to 7 membered heterocyclyl), or —CR¹⁰R¹¹OC(O)C₂₋₈ alkoxyalkyl. In some such embodiments, the 3 to 7 membered heterocyclyl is

In some further embodiments, R is —CR¹⁰R¹¹OC(O)OC₁₋₉alkyl, —CR¹⁰R¹¹OC(O)OC₃₋₇carbocyclyl, —CR¹⁰R¹¹OC(O)O(3 to 7 membered heterocyclyl), or —CR¹⁰R¹¹OC(O)OC₂₋₈alkoxyalkyl. In some such embodiments, the 3 to 7 membered heterocyclyl is

In still some further embodiments, R is CR¹⁰R¹¹OC(O)NR¹³R¹⁴. In some such embodiments, each of R¹³ and R¹⁴ is independently H or C₁₋₆ alkyl. In still some further embodiments, R is —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)NR¹³R¹⁴, —CR¹⁰R¹¹OC(O)O(CH₂)₂₋₃OC(O)C₁₋₄ alkyl, —CR¹⁰R¹¹OC(O)(CH₂)₁₋₃OC(O)C₁₋₄ alkyl, or —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)OC₁₋₄ alkyl. In some embodiments, each R¹⁰ and R¹¹ is independently hydrogen or C₁₋₆ alkyl.

In some embodiments of the compounds of Formula I, Ia, Ib, Ic, Id, II, IIa, IIb, IIc or IId as described herein, R⁷ is —OH.

In some embodiments of the compounds of Formula I, Ia, Ib, Ic, or Id as described herein, Y² is —O—.

In some embodiments of the compounds of Formula II, IIa, IIb, IIc or IId as described herein, Y³ is —OH. In some embodiments, Y⁴ is —OH.

In some embodiments of the compounds of Formula I, Ia, Ib, Ic, Id, II, IIa, IIb, IIc or IId as described herein, Y⁵ is absent and t is 0, and R⁵ is selected from the group consisting of amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkoxy, acyl, C-carboxy, C-amido, N-amido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃ SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d). In one embodiment, R⁵ is halogen.

In some embodiments of the compounds of Formula Ib, Ic, Id, IIb, IIc, or IId as described herein, each J, L and M is CR¹². In some such embodiments, R¹² is hydrogen, halogen, C₁₋₆ alkoxy, or C₁₋₆ haloalkoxy. In some other embodiments, at least one of J, L and M of Formula Ib, Ic, Id, IIb, IIc, or IId is N (nitrogen). In one such embodiment, M is nitrogen.

In some embodiments, the compounds of Formula I or II as described herein are selected from the group consisting of

of Table 1, and pharmaceutically acceptable salts thereof.

In some embodiments, the pharmaceutically acceptable salts are selected from alkaline metal salts or ammonium salts. In one embodiment, the pharmaceutically acceptable salts are sodium salts with the structures selected from the group consisting of:

Compounds of Formula III or IV

In some embodiments, compounds that contain a boronic acid moiety are provided that act as antimicrobial agents and/or as potentiators of antimicrobial agents. Various embodiments of these compounds include compounds having the structures of Formula III or IV as described above or pharmaceutically acceptable salts thereof. In some embodiments of the compounds of Formula III or IV, R is selected from H, C₁₋₉ alkyl, —CR¹⁰R¹¹OC(O)C₁₋₉alkyl, —CR¹⁰R¹¹OC(O)OC₁₋₉alkyl, —CR¹⁰R¹¹OC(O)C₆₋₁₀ aryl, —CR¹⁰R¹¹OC(O)OC₆₋₁₀aryl and

In some embodiments, the compounds of Formula III or IV are also represented by the structure of Formula IIIa or IVa, or pharmaceutically acceptable salts thereof:

wherein each J, L, M is independently selected from CR¹² or N (nitrogen).

In some embodiments, m is 0 and the compounds of Formula IIIa or IVa are also represented by the structure of Formula IIIb or IVb, or pharmaceutically acceptable salts thereof:

In some embodiments of the compounds of Formula III, IIIa, IIIb, IV, IVa, or IVb as described herein, R² is selected from H, halogen, or C₁₋₆ alkyl.

In some embodiments of the compounds of Formula III, IIIa, IIIb, IV, IVa, or IVb as described herein, R³ is hydrogen.

In some other embodiments of the compounds of Formula III, IIIa, IIIb, IV, IVa, or IVb as described herein, R² and R³ together with the atoms to which they are attached form a fused ring or ring system selected from the group consisting of C₃₋₇ carbocyclyl, 3-10 membered heterocyclyl, C₆₋₁₀ aryl, and 5-10 membered heteroaryl, each optionally substituted with one or more R⁵. In some such embodiments, R² and R³ together with the atoms to which they are attached form C₃₋₇ carbocyclyl optionally substituted with one or more R⁵. In one embodiment, R² and R³ together with the atoms to which they are attached form cyclopropyl optionally substituted with one or more R⁵.

In some embodiments of the compounds of Formula III, IIIa, IIIb, IV, IVa, or IVb as described herein, R⁶ is —C(O)OR. In some such embodiments, R is H or C₁₋₆ alkyl. In some other embodiments, R is —CR¹⁰R¹¹OC(O)C₁₋₉ alkyl, —CR¹⁰R¹¹OC(O)C₃₋₇ carbocyclyl, —CR¹⁰R¹¹OC(O)(3 to 7 membered heterocyclyl), or —CR¹⁰R¹¹OC(O)C₂₋₈ alkoxyalkyl. In some such embodiments, the 3 to 7 membered heterocyclyl is

In some further embodiments, R is —CR¹⁰R¹¹OC(O)OC₁₋₉alkyl, —CR¹⁰R¹¹OC(O)OC₃₋₇carbocyclyl, —CR¹⁰R¹¹OC(O)O(3 to 7 membered heterocyclyl), or —CR¹⁰R¹¹C(O)OC₂₋₈alkoxyalkyl. In some such embodiments, the 3 to 7 membered heterocyclyl is

In still some further embodiments, R is CR¹⁰R¹¹C(O)NR¹³R¹⁴. In some such embodiments, each of R¹³ and R¹⁴ is independently H or C₁₋₆ alkyl. In still some further embodiments, R is —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)NR¹³R¹⁴, —CR¹⁰R¹¹OC(O)O(CH₂)₂₋₃OC(O)C₁₋₄ alkyl, —CR¹⁰R¹¹OC(O)(CH₂)₁₋₃OC(O)C₁₋₄ alkyl, or —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)OC₁₋₄ alkyl. In some embodiments, each R¹⁰ and R¹¹ is independently hydrogen or C₁₋₆ alkyl.

In some embodiments of the compounds of Formula III, IIIa, IIIb, IV, IVa, or IVb as described herein, R⁷ is —OH.

In some embodiments of the compounds of Formula III, IIIa, or IIIb as described herein, Y² is —O—.

In some embodiments of the compounds of Formula IV, IVa, or IVb as described herein, Y³ is —OH. In some embodiments, Y⁴ is —OH.

In some embodiments of the compounds of Formula IIIa, IIIb, IVa, or IVb as described herein, each J, L and M is CR¹². In some such embodiments, R¹² is selected from hydrogen, halogen or C₁₋₆ alkoxy. In some other embodiments, at least one of J, L and M is N (nitrogen). In one embodiments, M is N.

In some embodiments, the compounds of Formula III or IV are selected from the group consisting of

of Table 1, or pharmaceutically acceptable salts thereof.

In some embodiments, the pharmaceutically acceptable salts are selected from alkaline metal salts or ammonium salts. In one embodiment, the pharmaceutically acceptable salts are sodium salts.

Compounds of Formula V

In some embodiments, compounds that contain a boronic acid moiety are provided that act as antimicrobial agents and/or as potentiators of antimicrobial agents. Various embodiments of these compounds include compounds having the structures of Formula V as described above or pharmaceutically acceptable salts thereof. In some embodiments of the compounds of Formula V, R is selected from H, C₁₋₉ alkyl, —CR¹⁰R¹¹OC(O)C₁₋₉alkyl, —CR¹⁰R¹¹OC(O)OC₁₋₉alkyl, —CR¹⁰R¹¹OC(O)C₆₋₁₀ aryl, —CR¹⁰R¹¹OC(O)OC₆₋₁₀aryl and

In some embodiments, the compounds of Formula V are also represented by the structure of Formula Va, or pharmaceutically acceptable salts thereof:

In some embodiments, m is 1 and the compounds of Formula Va are also represented by the structure of Formula Vb, or pharmaceutically acceptable salts thereof:

In some embodiments of the compounds of the Formula V, Va or Vb, both R^(a) and R^(b) are H.

In some embodiments of the compounds of the Formula V, Va or Vb as described herein, R² and R³ together with the atoms to which they are attached form a fused ring or ring system selected from the group consisting of C₃₋₇ carbocyclyl, 3-10 membered heterocyclyl, C₆₋₁₀ aryl, and 5-10 membered heteroaryl, each optionally substituted with one or more R⁵. In some such embodiments, R² and R³ together with the atoms to which they are attached form C₃₋₇ carbocyclyl optionally substituted with one or more R⁵. In one embodiment, R² and R³ together with the atoms to which they are attached form cyclopropyl optionally substituted with one or more R⁵.

In some embodiments of the compounds of the Formula V, Va or Vb as described herein, r is 1, and both R^(h) and R^(i) are H.

In some embodiments of the compounds of the Formula V, Va or Vb as described herein, R⁶ is —(CH₂)nC(O)OR and n is 0. In some such embodiment, the compound is also represented by the structure of Formula Vc or pharmaceutically acceptable salts thereof:

wherein the cyclopropyl moiety

is optionally substituted with one or more R⁵. In one example,

is substituted with one R⁵ and the compound is also represented by the structure of Formula Vd:

In some embodiments, the compounds of Formula Vc are in various stereoisomeric forms, including those represented by the structure of Formula Vc-1 or Vc-2, or pharmaceutically acceptable salts thereof:

In some embodiments of the compounds of Formula V, Va, Vb or Vc as described herein, R⁷ is —OH.

In some embodiments of the compounds of Formula V, Va, Vb or Vc as described herein, Y² is —O—.

Compounds of Formula VI

In some embodiments, compounds that contain a boronic acid moiety are provided that act as antimicrobial agents and/or as potentiators of antimicrobial agents. Various embodiments of these compounds include compounds having the structures of Formula VI as described above or pharmaceutically acceptable salts thereof. In some embodiments of the compounds of Formula VI, R is selected from H, C₁₋₉ alkyl, —CR¹⁰R¹¹OC(O)C₁₋₉ alkyl, —CR¹⁰R¹¹OC(O)OC₁₋₉alkyl, —CR¹⁰R¹¹OC(O)C₆₋₁₀aryl, —CR¹⁰R¹¹OC(O)OC₆₋₁₀aryl and

In some embodiments, m is 1 and the compounds of Formula VI are also represented by the structure of Formula VIa, or pharmaceutically acceptable salts thereof:

In some embodiments of the compounds of Formula VI or VIa, both R^(a) and R^(b) are H.

In some embodiments of the compounds of Formula VI or VIa, r is 1, and both R^(h) and R^(i) are H.

In some embodiments of the compounds of the Formula VI or VIa as described herein, R⁶ is —(CH₂)nC(O)OR and n is 0. In some such embodiment, the compound is also represented by the structure of Formula VIb or pharmaceutically acceptable salts thereof:

In some embodiments of the compounds of Formula VI, VIa, or VIb as described herein, R⁷ is —OH.

In some embodiments of the compounds of Formula VI, VIa, or VIb as described herein, Y² is —O—.

Exemplary compounds described herein are illustrated in Table 1 below.

TABLE 1 Compd # Structure  1

 2

 3

 4

 5

 6

 7

 8

 9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

In some embodiments, the pharmaceutically acceptable salts are selected from alkaline metal salts or ammonium salts. In one embodiment, the pharmaceutically acceptable salts are sodium salts, including disodium salts.

Where the compounds disclosed herein have at least one chiral center, they may exist as individual enantiomers and diastereomers or as mixtures of such isomers, including racemates. Separation of the individual isomers or selective synthesis of the individual isomers is accomplished by application of various methods which are well known to practitioners in the art. Unless otherwise indicated, all such isomers and mixtures thereof are included in the scope of the compounds disclosed herein. Furthermore, compounds disclosed herein may exist in one or more crystalline or amorphous forms. Unless otherwise indicated, all such forms are included in the scope of the compounds disclosed herein including any polymorphic forms. In addition, some of the compounds disclosed herein may form solvates with water (i.e., hydrates) or common organic solvents. Unless otherwise indicated, such solvates are included in the scope of the compounds disclosed herein.

The skilled artisan will recognize that some structures described herein may be resonance forms or tautomers of compounds that may be fairly represented by other chemical structures, even when kinetically; the artisan recognizes that such structures may only represent a very small portion of a sample of such compound(s). Such compounds are considered within the scope of the structures depicted, though such resonance forms or tautomers are not represented herein.

In some embodiments, due to the facile exchange of boron esters, the compounds described herein may convert to or exist in equilibrium with alternate forms. Accordingly, in some embodiments, the compounds described herein may exist in combination with one or more of these forms. For example, as shown below, the compounds disclosed herein may exist in cyclic boronate monoesters with the structure of Formulae I, Ia, Ib, Ic, and Id or in acyclic form as boronic acids with the structure of Formulae II, IIa, IIb, IIc, IId, or may exist as a mixture of the two forms depending on the medium. In some embodiments, the compounds disclosed herein may exist in cyclic form as cyclic boronate monoesters with the structure of Formulae III, Ma, and Mb or in acyclic form as boronic acids with the structure of Formulae IV, IVa and IVb, or may exist as a mixture of the two forms depending on the medium. Exemplary equilibrium equation between the cyclic boronate monoesters and the acyclic form boronic acids are demonstrated below:

In some embodiments, the compounds described herein may exist in cyclic dimeric form, trimeric form or tetrameric form. For example, the compound of Formula II may exist in dimeric form (II-A), trimeric form (II-B), or tetrameric form (II-C):

Definitions

Unless defined otherwise, all technical and scientific terms used herein have the same meaning as is commonly understood by one of ordinary skill in the art. All patents, applications, published applications and other publications referenced herein are incorporated by reference in their entirety unless stated otherwise. In the event that there are a plurality of definitions for a term herein, those in this section prevail unless stated otherwise. As used in the specification and the appended claims, the singular forms “a,” “an” and “the” include plural referents unless the context clearly dictates otherwise. Unless otherwise indicated, conventional methods of mass spectroscopy, NMR, HPLC, protein chemistry, biochemistry, recombinant DNA techniques and pharmacology are employed. The use of “or” or “and” means “and/or” unless stated otherwise. Furthermore, use of the term “including” as well as other forms, such as “include”, “includes,” and “included,” is not limiting. As used in this specification, whether in a transitional phrase or in the body of the claim, the terms “comprise(s)” and “comprising” are to be interpreted as having an open-ended meaning. That is, the terms are to be interpreted synonymously with the phrases “having at least” or “including at least.” When used in the context of a process, the term “comprising” means that the process includes at least the recited steps, but may include additional steps. When used in the context of a compound, composition, or device, the term “comprising” means that the compound, composition, or device includes at least the recited features or components, but may also include additional features or components.

The section headings used herein are for organizational purposes only and are not to be construed as limiting the subject matter described.

As used herein, common organic abbreviations are defined as follows:

-   -   Ac Acetyl     -   aq. Aqueous     -   Bn Benzyl     -   Bz Benzoyl     -   BOC or Boc tert-Butoxycarbonyl     -   ° C. Temperature in degrees Centigrade     -   DCM Dichloromethane     -   DMF N,N-dimethylformamide     -   EA Ethyl acetate     -   ESBL Extended-spectrum β-lactamase     -   Et Ethyl     -   g Gram(s)     -   h or hr Hour(s)     -   HATU 2-(7-aza-1H-benzotriazole-1-yl)-1,1,3,3-tetramethyluronium         hexafluorophosphate     -   iPr Isopropyl     -   m or min Minute(s)     -   MECN Acetonitrile     -   mL Milliliter(s)     -   NMR Nuclear magnetic resonance     -   PE Petroleum ether     -   PG Protecting group     -   Ph Phenyl     -   rt Room temperature     -   TBDMSCl tert-Butyldimethylsilyl chloride     -   TB S tert-Butyldimethyl silyl     -   Tert, t tertiary     -   TFA Trifluoroacetic acid     -   THF Tetrahydrofuran     -   TLC Thin-layer chromatography     -   μL Microliter(s)

As used herein, “C_(a) to C_(b)” or “C_(a-b)” in which “a” and “b” are integers refer to the number of carbon atoms in the specified group. That is, the group can contain from “a” to “b”, inclusive, carbon atoms. Thus, for example, a “C₁ to C₄ alkyl” or “C₁₋₄ alkyl” group refers to all alkyl groups having from 1 to 4 carbons, that is, CH₃—, CH₃CH₂—, CH₃CH₂CH₂—, (CH₃)₂CH—, CH₃CH₂CH₂CH₂—, CH₃CH₂CH(CH₃)— and (CH₃)₃C—.

The term “halogen” or “halo,” as used herein, means any one of the radio-stable atoms of column 7 of the Periodic Table of the Elements, e.g., fluorine, chlorine, bromine, or iodine, with fluorine and chlorine being preferred.

As used herein, “alkyl” refers to a straight or branched hydrocarbon chain that is fully saturated (i.e., contains no double or triple bonds). The alkyl group may have 1 to 20 carbon atoms (whenever it appears herein, a numerical range such as “1 to 20” refers to each integer in the given range; e.g., “1 to 20 carbon atoms” means that the alkyl group may consist of 1 carbon atom, 2 carbon atoms, 3 carbon atoms, etc., up to and including 20 carbon atoms, although the present definition also covers the occurrence of the term “alkyl” where no numerical range is designated). The alkyl group may also be a medium size alkyl having 1 to 9 carbon atoms. The alkyl group could also be a lower alkyl having 1 to 4 carbon atoms. The alkyl group may be designated as “C₁₋₄ alkyl” or similar designations. By way of example only, “C₁₋₄ alkyl” indicates that there are one to four carbon atoms in the alkyl chain, i.e., the alkyl chain is selected from the group consisting of methyl, ethyl, propyl, iso-propyl, n-butyl, iso-butyl, sec-butyl, and t-butyl. Typical alkyl groups include, but are in no way limited to, methyl, ethyl, propyl, isopropyl, butyl, isobutyl, tertiary butyl, pentyl, hexyl, and the like.

As used herein, “alkoxy” refers to the formula OR wherein R is an alkyl as is defined above, such as “C₁₋₉ alkoxy”, including but not limited to methoxy, ethoxy, n-propoxy, 1-methylethoxy (isopropoxy), n-butoxy, iso-butoxy, sec-butoxy, and tert-butoxy, and the like.

As used herein, “alkylthio” refers to the formula —SR wherein R is an alkyl as is defined above, such as “C₁₋₉ alkylthio” and the like, including but not limited to methylmercapto, ethylmercapto, n-propylmercapto, 1-methylethylmercapto (isopropylmercapto), n-butylmercapto, iso-butylmercapto, sec-butylmercapto, tert-butylmercapto, and the like.

As used herein, “alkenyl” refers to a straight or branched hydrocarbon chain containing one or more double bonds. The alkenyl group may have 2 to 20 carbon atoms, although the present definition also covers the occurrence of the term “alkenyl” where no numerical range is designated. The alkenyl group may also be a medium size alkenyl having 2 to 9 carbon atoms. The alkenyl group could also be a lower alkenyl having 2 to 4 carbon atoms. The alkenyl group may be designated as “C₂₋₄ alkenyl” or similar designations. By way of example only, “C₂₋₄ alkenyl” indicates that there are two to four carbon atoms in the alkenyl chain, i.e., the alkenyl chain is selected from the group consisting of ethenyl, propen-1-yl, propen-2-yl, propen-3-yl, buten-1-yl, buten-2-yl, buten-3-yl, buten-4-yl, 1-methyl-prop en-1-yl, 2-methyl-prop en-1-yl, 1-ethyl-ethen-1-yl, 2-methyl-propen-3-yl, buta-1,3-dienyl, buta-1,2,-dienyl, and buta-1,2-dien-4-yl. Typical alkenyl groups include, but are in no way limited to, ethenyl, propenyl, butenyl, pentenyl, and hexenyl, and the like.

As used herein, “alkynyl” refers to a straight or branched hydrocarbon chain containing one or more triple bonds. The alkynyl group may have 2 to 20 carbon atoms, although the present definition also covers the occurrence of the term “alkynyl” where no numerical range is designated. The alkynyl group may also be a medium size alkynyl having 2 to 9 carbon atoms. The alkynyl group could also be a lower alkynyl having 2 to 4 carbon atoms. The alkynyl group may be designated as “C₂₋₄ alkynyl” or similar designations. By way of example only, “C₂₋₄ alkynyl” indicates that there are two to four carbon atoms in the alkynyl chain, i.e., the alkynyl chain is selected from the group consisting of ethynyl, propyn-1-yl, propyn-2-yl, butyn-1-yl, butyn-3-yl, butyn-4-yl, and 2-butynyl. Typical alkynyl groups include, but are in no way limited to, ethynyl, propynyl, butynyl, pentynyl, and hexynyl, and the like.

As used herein, “heteroalkyl” refers to a straight or branched hydrocarbon chain containing one or more heteroatoms, that is, an element other than carbon, including but not limited to, nitrogen, oxygen and sulfur, in the chain backbone. The heteroalkyl group may have 1 to 20 carbon atom, although the present definition also covers the occurrence of the term “heteroalkyl” where no numerical range is designated. The heteroalkyl group may also be a medium size heteroalkyl having 1 to 9 carbon atoms. The heteroalkyl group could also be a lower heteroalkyl having 1 to 4 carbon atoms. The heteroalkyl group may be designated as “C₁₋₄ heteroalkyl” or similar designations. The heteroalkyl group may contain one or more heteroatoms. By way of example only, “C₁₋₄ heteroalkyl” indicates that there are one to four carbon atoms in the heteroalkyl chain and additionally one or more heteroatoms in the backbone of the chain.

As used herein, “alkylene” means a branched, or straight chain fully saturated di-radical chemical group containing only carbon and hydrogen that is attached to the rest of the molecule via two points of attachment (i.e., an alkanediyl). The alkylene group may have 1 to 20 carbon atoms, although the present definition also covers the occurrence of the term alkylene where no numerical range is designated. The alkylene group may also be a medium size alkylene having 1 to 9 carbon atoms. The alkylene group could also be a lower alkylene having 1 to 4 carbon atoms. The alkylene group may be designated as “C₁₋₄ alkylene” or similar designations. By way of example only, “C₁₋₄ alkylene” indicates that there are one to four carbon atoms in the alkylene chain, i.e., the alkylene chain is selected from the group consisting of methylene, ethylene, ethan-1,1-diyl, propylene, propan-1,1-diyl, propan-2,2-diyl, 1-methyl-ethylene, butylene, butan-1,1-diyl, butan-2,2-diyl, 2-methyl-propan-1,1-diyl, 1-methyl-propylene, 2-methyl-propylene, 1,1-dimethyl-ethylene, 1,2-dimethyl-ethylene, and 1-ethyl-ethylene.

As used herein, “alkenylene” means a straight or branched chain di-radical chemical group containing only carbon and hydrogen and containing at least one carbon-carbon double bond that is attached to the rest of the molecule via two points of attachment. The alkenylene group may have 2 to 20 carbon atoms, although the present definition also covers the occurrence of the term alkenylene where no numerical range is designated. The alkenylene group may also be a medium size alkenylene having 2 to 9 carbon atoms. The alkenylene group could also be a lower alkenylene having 2 to 4 carbon atoms. The alkenylene group may be designated as “C₂₋₄ alkenylene” or similar designations. By way of example only, “C₂₋₄ alkenylene” indicates that there are two to four carbon atoms in the alkenylene chain, i.e., the alkenylene chain is selected from the group consisting of ethenylene, ethen-1,1-diyl, propenylene, propen-1, 1-diyl, prop-2-en-1,1-diyl, 1-methyl-ethenylene, but-1-enylene, but-2-enylene, but-1,3-di enylene, buten-1,1-diyl, but-1,3-di en-1, 1-diyl, but-2-en-1, 1-diyl, but-3-en-1, 1-diyl, 1-methyl-prop-2-en-1, 1-diyl, 2-methyl-prop-2-en-1,1-diyl, 1-ethyl-ethenylene, 1,2-dimethyl-ethenylene, 1-methyl-propenylene, 2-methyl-propenylene, 3-methyl-propenylene, 2-methyl-prop en-1, 1-diyl, and 2,2-dimethyl-ethen-1, 1-diyl.

The term “aromatic” refers to a ring or ring system having a conjugated pi electron system and includes both carbocyclic aromatic (e.g., phenyl) and heterocyclic aromatic groups (e.g., pyridine). The term includes monocyclic or fused-ring polycyclic (i.e., rings which share adjacent pairs of atoms) groups provided that the entire ring system is aromatic.

As used herein, “aryl” refers to an aromatic ring or ring system (i.e., two or more fused rings that share two adjacent carbon atoms) containing only carbon in the ring backbone. When the aryl is a ring system, every ring in the system is aromatic. The aryl group may have 6 to 18 carbon atoms, although the present definition also covers the occurrence of the term “aryl” where no numerical range is designated. In some embodiments, the aryl group has 6 to 10 carbon atoms. The aryl group may be designated as “C₆₋₁₀ aryl,” “C₆ or C₁₀ aryl,” or similar designations. Examples of aryl groups include, but are not limited to, phenyl, naphthyl, azulenyl, and anthracenyl.

As used herein, “aryloxy” and “arylthio” refers to RO— and RS—, in which R is an aryl as is defined above, such as “C₆₋₁₀ aryloxy” or “C₆₋₁₀ arylthio” and the like, including but not limited to phenyloxy.

An “aralkyl” or “arylalkyl” is an aryl group connected, as a substituent, via an alkylene group, such as “C₇₋₁₄ aralkyl” and the like, including but not limited to benzyl, 2-phenylethyl, 3-phenylpropyl, and naphthylalkyl. In some cases, the alkylene group is a lower alkylene group (i.e., a C₁₋₄ alkylene group).

As used herein, “heteroaryl” refers to an aromatic ring or ring system (i.e., two or more fused rings that share two adjacent atoms) that contain(s) one or more heteroatoms, that is, an element other than carbon, including but not limited to, nitrogen, oxygen and sulfur, in the ring backbone. When the heteroaryl is a ring system, every ring in the system is aromatic. The heteroaryl group may have 5-18 ring members (i.e., the number of atoms making up the ring backbone, including carbon atoms and heteroatoms), although the present definition also covers the occurrence of the term “heteroaryl” where no numerical range is designated. In some embodiments, the heteroaryl group has 5 to 10 ring members or 5 to 7 ring members. The heteroaryl group may be designated as “5-7 membered heteroaryl,” “5-10 membered heteroaryl,” or similar designations. Examples of heteroaryl rings include, but are not limited to, furyl, thienyl, phthalazinyl, pyrrolyl, oxazolyl, thiazolyl, imidazolyl, pyrazolyl, isoxazolyl, isothiazolyl, triazolyl, thiadiazolyl, pyridinyl, pyridazinyl, pyrimidinyl, pyrazinyl, triazinyl, quinolinyl, isoquinlinyl, benzimidazolyl, benzoxazolyl, benzothiazolyl, indolyl, isoindolyl, and benzothienyl.

A “heteroaralkyl” or “heteroarylalkyl” is heteroaryl group connected, as a substituent, via an alkylene group. Examples include but are not limited to 2-thienylmethyl, 3-thienylmethyl, furylmethyl, thienylethyl, pyrrolylalkyl, pyridylalkyl, isoxazollylalkyl, and imidazolylalkyl. In some cases, the alkylene group is a lower alkylene group (i.e., a C₁₋₄ alkylene group).

As used herein, “carbocyclyl” means a non-aromatic cyclic ring or ring system containing only carbon atoms in the ring system backbone. When the carbocyclyl is a ring system, two or more rings may be joined together in a fused, bridged or spiro-connected fashion. Carbocyclyls may have any degree of saturation provided that at least one ring in a ring system is not aromatic. Thus, carbocyclyls include cycloalkyls, cycloalkenyls, and cycloalkynyls. The carbocyclyl group may have 3 to 20 carbon atoms, although the present definition also covers the occurrence of the term “carbocyclyl” where no numerical range is designated. The carbocyclyl group may also be a medium size carbocyclyl having 3 to 10 carbon atoms. The carbocyclyl group could also be a carbocyclyl having 3 to 6 carbon atoms. The carbocyclyl group may be designated as “C₃₋₆ carbocyclyl” or similar designations. Examples of carbocyclyl rings include, but are not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cyclohexenyl, 2,3-dihydro-indene, bicycle[2.2.2]octanyl, adamantyl, and spiro[4.4]nonanyl.

A “(carbocyclyl)alkyl” is a carbocyclyl group connected, as a substituent, via an alkylene group, such as “C₄₋₁₀ (carbocyclyl)alkyl” and the like, including but not limited to, cyclopropylmethyl, cyclobutylmethyl, cyclopropylethyl, cyclopropylbutyl, cyclobutylethyl, cyclopropylisopropyl, cyclopentylmethyl, cyclopentylethyl, cyclohexylmethyl, cyclohexylethyl, cycloheptylmethyl, and the like. In some cases, the alkylene group is a lower alkylene group.

As used herein, “cycloalkyl” means a fully saturated carbocyclyl ring or ring system. Examples include cyclopropyl, cyclobutyl, cyclopentyl, and cyclohexyl.

As used herein, “cycloalkenyl” means a carbocyclyl ring or ring system having at least one double bond, wherein no ring in the ring system is aromatic. An example is cyclohexenyl.

As used herein, “heterocyclyl” means a non-aromatic cyclic ring or ring system containing at least one heteroatom in the ring backbone. Heterocyclyls may be joined together in a fused, bridged or spiro-connected fashion. Heterocyclyls may have any degree of saturation provided that at least one ring in the ring system is not aromatic. The heteroatom(s) may be present in either a non-aromatic or aromatic ring in the ring system. The heterocyclyl group may have 3 to 20 ring members (i.e., the number of atoms making up the ring backbone, including carbon atoms and heteroatoms), although the present definition also covers the occurrence of the term “heterocyclyl” where no numerical range is designated. The heterocyclyl group may also be a medium size heterocyclyl having 3 to 10 ring members. The heterocyclyl group could also be a heterocyclyl having 3 to 6 ring members. The heterocyclyl group may be designated as “3-6 membered heterocyclyl” or similar designations. In preferred six membered monocyclic heterocyclyls, the heteroatom(s) are selected from one up to three of O, N or S, and in preferred five membered monocyclic heterocyclyls, the heteroatom(s) are selected from one or two heteroatoms selected from O, N, or S. Examples of heterocyclyl rings include, but are not limited to, azepinyl, acridinyl, carbazolyl, cinnolinyl, dioxolanyl, imidazolinyl, imidazolidinyl, morpholinyl, oxiranyl, oxepanyl, thiepanyl, piperidinyl, piperazinyl, dioxopiperazinyl, pyrrolidinyl, pyrrolidonyl, pyrrolidionyl, 4-piperidonyl, pyrazolinyl, pyrazolidinyl, 1,3-dioxinyl, 1,3-dioxanyl, 1,4-dioxinyl, 1,4-dioxanyl, 1,3-oxathianyl, 1,4-oxathiinyl, 1,4-oxathianyl, 2H-1,2-oxazinyl, trioxanyl, hexahydro-1,3,5-triazinyl, 1,3-dioxolyl, 1,3-dioxolanyl, 1,3-dithiolyl, 1,3-dithiolanyl, isoxazolinyl, isoxazolidinyl, oxazolinyl, oxazolidinyl, oxazolidinonyl, thiazolinyl, thiazolidinyl, 1,3-oxathiolanyl, indolinyl, isoindolinyl, tetrahydrofuranyl, tetrahydropyranyl, tetrahydrothiophenyl, tetrahydrothiopyranyl, tetrahydro-1,4-thiazinyl, thiamorpholinyl, dihydrobenzofuranyl, benzimidazolidinyl, and tetrahydroquinoline.

A “(heterocyclyl)alkyl” is a heterocyclyl group connected, as a substituent, via an alkylene group. Examples include, but are not limited to, imidazolinylmethyl and indolinylethyl.

As used herein, “acyl” refers to C(═O)R, wherein R is selected from hydrogen, optionally substituted C₁₋₆ alkyl, halogen, optionally substituted C₂₋₆ alkenyl, optionally substituted C₂₋₆ alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10 membered heteroaryl, and optionally substituted 3-10 membered heterocyclyl, as defined herein. Non-limiting examples include formyl, acetyl, propanoyl, benzoyl, and acryl.

An “O-carboxy” group refers to a “—OC(═O)R” group in which R is selected from hydrogen, optionally substituted C₁₋₆ alkyl, halogen, optionally substituted C₂₋₆ alkenyl, optionally substituted C₂₋₆ alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10 membered heteroaryl, and optionally substituted 3-10 membered heterocyclyl, as defined herein.

A “C-carboxy” group refers to a “—C(═O)OR” group in which R is selected from hydrogen, halogen, optionally substituted C₁₋₆ alkyl, optionally substituted C₂₋₆ alkenyl, optionally substituted C₂₋₆ alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10 membered heteroaryl, and optionally substituted 3-10 membered heterocyclyl, as defined herein. A non-limiting example includes carboxyl (i.e., —C(═O)OH).

A “cyano” group refers to a “—CN” group.

A “cyanato” group refers to an “—OCN” group.

An “isocyanato” group refers to a “—NCO” group.

A “thiocyanato” group refers to a “—SCN” group.

An “isothiocyanato” group refers to an “—NCS” group.

A “sulfinyl” group refers to an “—S(═O)R” group in which R is selected from hydrogen, optionally substituted C₁₋₆ alkyl, optionally substituted C₂₋₆ alkenyl, optionally substituted C₂₋₆ alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10 membered heteroaryl, and optionally substituted 3-10 membered heterocyclyl, as defined herein.

A “sulfonyl” group refers to an “—SO₂R” group in which R is selected from hydrogen, optionally substituted C₁₋₆ alkyl, optionally substituted C₂₋₆ alkenyl, optionally substituted C₂₋₆ alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10 membered heteroaryl, and optionally substituted 3-10 membered heterocyclyl, as defined herein.

An “S-sulfonamido” group refers to a “—SO₂NR_(A)R_(B)” group in which R_(A) and R_(B) are each independently selected from hydrogen, halogen, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₂₋₆ alkenyl, optionally substituted C₂₋₆ alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10 membered heteroaryl, and optionally substituted 3-10 membered heterocyclyl, as defined herein.

An “N-sulfonamido” group refers to a “—N(R_(A))SO₂R_(B)” group in which R_(A) and R_(B) are each independently selected from hydrogen, halogen, optionally substituted C₁₋₆ alkyl, optionally substituted C₂₋₆ alkenyl, optionally substituted C₂₋₆ alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10 membered heteroaryl, and optionally substituted 3-10 membered heterocyclyl, as defined herein.

A “C-amido” group refers to a “—C(═O)NR_(A)R_(B)” group in which R_(A) and R_(B) are each independently selected from hydrogen, halogen, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₂₋₆ alkenyl, optionally substituted C₂₋₆ alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10 membered heteroaryl, and optionally substituted 3-10 membered heterocyclyl, as defined herein.

An “N-amido” group refers to a “—N(R_(A))C(═O)R_(B)” group in which R_(A) and R_(B) are each independently selected from hydrogen, halogen, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₂₋₆ alkenyl, optionally substituted C₂₋₆ alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10 membered heteroaryl, and optionally substituted 3-10 membered heterocyclyl, as defined herein.

An “O-carbamyl” group refers to a “—OC(═O)NR_(A)R_(B)” group in which R_(A) and R_(B) are each independently selected from hydrogen, C₁₋₆ alkyl, C₂₋₆ alkenyl, C₂₋₆ alkynyl, C₃₋₇ carbocyclyl, C₆₋₁₀ aryl, 5-10 membered heteroaryl, and 5-10 membered heterocyclyl, as defined herein.

An “N-carbamyl” group refers to an “—N(R_(A))OC(═O)R_(B)” group in which R_(A) and R_(B) are each independently selected from hydrogen, C₁₋₆ alkyl, C₂₋₆ alkenyl, C₂₋₆ alkynyl, C₃₋₇ carbocyclyl, C₆₋₁₀ aryl, 5-10 membered heteroaryl, and 5-10 membered heterocyclyl, as defined herein.

An “O-thiocarbamyl” group refers to a “—OC(═S)NR_(A)R_(B)” group in which R_(A) and R_(B) are each independently selected from hydrogen, C₁₋₆ alkyl, C₂₋₆ alkenyl, C₂₋₆ alkynyl, C₃₋₇ carbocyclyl, C₆₋₁₀ aryl, 5-10 membered heteroaryl, and 5-10 membered heterocyclyl, as defined herein.

An “N-thiocarbamyl” group refers to an “—N(R_(A))OC(═S)R_(B)” group in which R_(A) and R_(B) are each independently selected from hydrogen, C₁₋₆ alkyl, C₂₋₆ alkenyl, C₂₋₆ alkynyl, C₃₋₇ carbocyclyl, C₆₋₁₀ aryl, 5-10 membered heteroaryl, and 5-10 membered heterocyclyl, as defined herein.

An “amino” group refers to a “—NR_(A)R_(B)” group in which R_(A) and R_(B) are each independently selected from hydrogen, halogen, optionally substituted C₁₋₆ alkyl, optionally substituted C₂₋₆ alkenyl, optionally substituted C₂₋₆ alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10 membered heteroaryl, and optionally substituted 3-10 membered heterocyclyl as defined herein. A non-limiting example includes free amino (i.e., —NH₂).

An “aminoalkyl” group refers to an amino group connected via an alkylene group.

An “alkoxyalkyl” group refers to an alkoxy group connected via an alkylene group, such as a “C₂₋₈ alkoxyalkyl” and the like.

As used herein, a substituted group is derived from the unsubstituted parent group in which there has been an exchange of one or more hydrogen atoms for another atom or group. Unless otherwise indicated, when a group is deemed to be “substituted,” it is meant that the group is substituted with one or more substituents independently selected from C₁-C₆ alkyl, C₁-C₆ alkenyl, C₁-C₆ alkynyl, C₁-C₆ heteroalkyl, C₃-C₇ carbocyclyl (optionally substituted with halo, C₁-C₆ alkyl, C₁-C₆ alkoxy, C₁-C₆ haloalkyl, and C₁-C₆ haloalkoxy), C₃-C₇-carbocyclyl-C₁-C₆-alkyl (optionally substituted with halo, C₁-C₆ alkyl, C₁-C₆ alkoxy, C₁-C₆ haloalkyl, and C₁-C₆ haloalkoxy), 3-10 membered heterocyclyl (optionally substituted with halo, C₁-C₆ alkyl, C₁-C₆ alkoxy, C₁-C₆ haloalkyl, and C₁-C₆ haloalkoxy), 3-10 membered heterocyclyl-C₁-C₆-alkyl (optionally substituted with halo, C₁-C₆ alkyl, C₁-C₆ alkoxy, C₁-C₆ haloalkyl, and C₁-C₆ haloalkoxy), aryl (optionally substituted with halo, C₁-C₆ alkyl, C₁-C₆ alkoxy, C₁-C₆ haloalkyl, and C₁-C₆ haloalkoxy), aryl(C₁-C₆)alkyl (optionally substituted with halo, C₁-C₆ alkyl, C₁-C₆ alkoxy, C₁-C₆ haloalkyl, and C₁-C₆ haloalkoxy), 5-10 membered heteroaryl (optionally substituted with halo, C₁-C₆ alkyl, C₁-C₆ alkoxy, C₁-C₆ haloalkyl, and C₁-C₆ haloalkoxy), 5-10 membered heteroaryl(C₁-C₆)alkyl (optionally substituted with halo, C₁-C₆ alkyl, C₁-C₆ alkoxy, C₁-C₆ haloalkyl, and C₁-C₆ haloalkoxy), halo, cyano, hydroxy, C₁-C₆ alkoxy, C₁-C₆ alkoxy(C₁-C₆)alkyl (i.e., ether), aryloxy, sulfhydryl (mercapto), halo(C₁-C₆)alkyl (e.g., —CF₃), halo(C₁-C₆)alkoxy (e.g., —OCF₃), C₁-C₆ alkylthio, arylthio, amino, amino(C₁-C₆)alkyl, nitro, O-carbamyl, N-carbamyl, O-thiocarbamyl, N-thiocarbamyl, C-amido, N-amido, S-sulfonamido, N-sulfonamido, C-carboxy, O-carboxy, acyl, cyanato, isocyanato, thiocyanato, isothiocyanato, sulfinyl, sulfonyl, and oxo (═O). Wherever a group is described as “optionally substituted” that group can be substituted with the above substituents.

It is to be understood that certain radical naming conventions can include either a mono-radical or a di-radical, depending on the context. For example, where a substituent requires two points of attachment to the rest of the molecule, it is understood that the substituent is a di-radical. For example, a substituent identified as alkyl that requires two points of attachment includes di-radicals such as —CH₂—, —CH₂CH₂—, —CH₂CH(CH₃)CH₂—, and the like. Other radical naming conventions clearly indicate that the radical is a di-radical such as “alkylene” or “alkenylene.”

When two R groups are said to form a ring (e.g., a carbocyclyl, heterocyclyl, aryl, or heteroaryl ring) “together with the atom to which they are attached,” it is meant that the collective unit of the atom and the two R groups are the recited ring. The ring is not otherwise limited by the definition of each R group when taken individually. For example, when the following substructure is present:

and R¹ and R² are defined as selected from the group consisting of hydrogen and alkyl, or R¹ and R² together with the nitrogen to which they are attached form a heterocyclyl, it is meant that R¹ and R² can be selected from hydrogen or alkyl, or alternatively, the substructure has structure:

where ring A is a heteroaryl ring containing the depicted nitrogen.

Similarly, when two “adjacent” R groups are said to form a ring “together with the atom to which they are attached,” it is meant that the collective unit of the atoms, intervening bonds, and the two R groups are the recited ring. For example, when the following substructure is present:

and R¹ and R² are defined as selected from the group consisting of hydrogen and alkyl, or R¹ and R² together with the atoms to which they are attached form an aryl or carbocylyl, it is meant that R¹ and R² can be selected from hydrogen or alkyl, or alternatively, the substructure has structure:

where A is an aryl ring or a carbocylyl containing the depicted double bond.

Wherever a substituent is depicted as a di-radical (i.e., has two points of attachment to the rest of the molecule), it is to be understood that the substituent can be attached in any directional configuration unless otherwise indicated. Thus, for example, a substituent depicted as -AE- or

includes the substituent being oriented such that the A is attached at the leftmost attachment point of the molecule as well as the case in which A is attached at the rightmost attachment point of the molecule.

As used herein, “isosteres” of a chemical group are other chemical groups that exhibit the same or similar properties. For example, tetrazole is an isostere of carboxylic acid because it mimics the properties of carboxylic acid even though they both have very different molecular formulae. Tetrazole is one of many possible isosteric replacements for carboxylic acid. Other carboxylic acid isosteres contemplated include —SO₃H, —SO₂HNR, —PO₂(R)₂, —PO₃(R)₂, —CONHNHSO₂R, —COHNSO₂R, and —CONRCN, where R is selected from hydrogen, C₁₋₆ alkyl, C₂₋₆ alkenyl, C₂₋₆ alkynyl, C₃₋₇ carbocyclyl, C₆₋₁₀ aryl, 5-10 membered heteroaryl, and 3-10 membered heterocyclyl, as defined herein. In addition, carboxylic acid isosteres can include 5-7 membered carbocycles or heterocycles containing any combination of CH₂, O, S, or N in any chemically stable oxidation state, where any of the atoms of said ring structure are optionally substituted in one or more positions. The following structures are non-limiting examples of carbocyclic and heterocyclic isosteres contemplated. The atoms of said ring structure may be optionally substituted at one or more positions with R as defined above.

It is also contemplated that when chemical substituents are added to a carboxylic isostere, the compound retains the properties of a carboxylic isostere. It is contemplated that when a carboxylic isostere is optionally substituted with one or more moieties selected from R as defined above, then the substitution and substitution position is selected such that it does not eliminate the carboxylic acid isosteric properties of the compound. Similarly, it is also contemplated that the placement of one or more R substituents upon a carbocyclic or heterocyclic carboxylic acid isostere is not a substitution at one or more atom(s) that maintain(s) or is/are integral to the carboxylic acid isosteric properties of the compound, if such substituent(s) would destroy the carboxylic acid isosteric properties of the compound.

Other carboxylic acid isosteres not specifically exemplified in this specification are also contemplated.

“Subject” as used herein, means a human or a non-human mammal, e.g., a dog, a cat, a mouse, a rat, a cow, a sheep, a pig, a goat, a non-human primate or a bird, e.g., a chicken, as well as any other vertebrate or invertebrate.

The term “mammal” is used in its usual biological sense. Thus, it specifically includes, but is not limited to, primates, including simians (chimpanzees, apes, monkeys) and humans, cattle, horses, sheep, goats, swine, rabbits, dogs, cats, rodents, rats, mice guinea pigs, or the like.

The term “pharmaceutically acceptable carrier” or “pharmaceutically acceptable excipient” includes any and all solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents and the like. The use of such media and agents for pharmaceutically active substances is well known in the art. Except insofar as any conventional media or agent is incompatible with the active ingredient, its use in the therapeutic compositions is contemplated. In addition, various adjuvants such as are commonly used in the art may be included. Considerations for the inclusion of various components in pharmaceutical compositions are described, e.g., in Gilman et al. (Eds.) (1990); Goodman and Gilman's: The Pharmacological Basis of Therapeutics, 8th Ed., Pergamon Press.

A therapeutic effect relieves, to some extent, one or more of the symptoms of a disease or condition, and includes curing a disease or condition. “Curing” means that the symptoms of a disease or condition are eliminated; however, certain long-term or permanent effects may exist even after a cure is obtained (such as extensive tissue damage).

“Treat,” “treatment,” or “treating,” as used herein refers to administering a compound or pharmaceutical composition to a subject for prophylactic and/or therapeutic purposes. The term “prophylactic treatment” refers to treating a subject who does not yet exhibit symptoms of a disease or condition, but who is susceptible to, or otherwise at risk of, a particular disease or condition, whereby the treatment reduces the likelihood that the patient will develop the disease or condition. The term “therapeutic treatment” refers to administering treatment to a subject already suffering from a disease or condition.

Where the compounds disclosed herein have at least one chiral center, they may exist as individual enantiomers and diastereomers or as mixtures of such isomers, including racemates. Separation of the individual isomers or selective synthesis of the individual isomers is accomplished by application of various methods which are well known to practitioners in the art. Unless otherwise indicated, all such isomers and mixtures thereof are included in the scope of the compounds disclosed herein. Furthermore, compounds disclosed herein may exist in one or more crystalline or amorphous forms. Unless otherwise indicated, all such forms are included in the scope of the compounds disclosed herein including any polymorphic forms. In addition, some of the compounds disclosed herein may form solvates with water (i.e., hydrates) or common organic solvents. Unless otherwise indicated, such solvates are included in the scope of the compounds disclosed herein.

The skilled artisan will recognize that some structures described herein may be resonance forms or tautomers of compounds that may be fairly represented by other chemical structures, even when kinetically; the artisan recognizes that such structures may only represent a very small portion of a sample of such compound(s). Such compounds are considered within the scope of the structures depicted, though such resonance forms or tautomers are not represented herein.

Isotopes may be present in the compounds described. Each chemical element as represented in a compound structure may include any isotope of said element. For example, in a compound structure a hydrogen atom may be explicitly disclosed or understood to be present in the compound. At any position of the compound that a hydrogen atom may be present, the hydrogen atom can be any isotope of hydrogen, including but not limited to hydrogen-1 (protium) and hydrogen-2 (deuterium). Thus, reference herein to a compound encompasses all potential isotopic forms unless the context clearly dictates otherwise.

A “prodrug” refers to an agent that is converted into the parent drug in vivo. Prodrugs are often useful because, in some situations, they may be easier to administer than the parent drug. They may, for instance, be bioavailable by oral administration whereas the parent is not. The prodrug may also have improved solubility in pharmaceutical compositions over the parent drug. An example, without limitation, of a prodrug would be a compound which is administered as an ester (the “prodrug”) to facilitate transmittal across a cell membrane where water solubility is detrimental to mobility but which then is metabolically hydrolyzed to the carboxylic acid, the active entity, once inside the cell where water-solubility is beneficial. A further example of a prodrug might be a short peptide (polyaminoacid) bonded to an acid group where the peptide is metabolized to reveal the active moiety. Conventional procedures for the selection and preparation of suitable prodrug derivatives are described, for example, in Design of Prodrugs, (ed. H. Bundgaard, Elsevier, 1985), which is hereby incorporated herein by reference in its entirety.

The term “pro-drug ester” refers to derivatives of the compounds disclosed herein formed by the addition of any of several ester-forming groups that are hydrolyzed under physiological conditions. Examples of pro-drug ester groups include pivoyloxymethyl, acetoxymethyl, phthalidyl, indanyl and methoxymethyl, as well as other such groups known in the art, including a (5-R-2-oxo-1,3-dioxolen-4-yl)methyl group. Other examples of pro-drug ester groups can be found in, for example, T. Higuchi and V. Stella, in “Pro-drugs as Novel Delivery Systems”, Vol. 14, A.C.S. Symposium Series, American Chemical Society (1975); and “Bioreversible Carriers in Drug Design: Theory and Application”, edited by E. B. Roche, Pergamon Press: New York, 14-21 (1987) (providing examples of esters useful as prodrugs for compounds containing carboxyl groups). Each of the above-mentioned references is herein incorporated by reference in their entirety.

“Metabolites” of the compounds disclosed herein include active species that are produced upon introduction of the compounds into the biological milieu.

“Solvate” refers to the compound formed by the interaction of a solvent and a compound described herein, a metabolite, or salt thereof. Suitable solvates are pharmaceutically acceptable solvates including hydrates.

The term “pharmaceutically acceptable salt” refers to salts that retain the biological effectiveness and properties of a compound, which are not biologically or otherwise undesirable for use in a pharmaceutical. In many cases, the compounds herein are capable of forming acid and/or base salts by virtue of the presence of amino and/or carboxyl groups or groups similar thereto. Pharmaceutically acceptable acid addition salts can be formed with inorganic acids and organic acids. Inorganic acids from which salts can be derived include, for example, hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like. Organic acids from which salts can be derived include, for example, acetic acid, propionic acid, glycolic acid, pyruvic acid, oxalic acid, maleic acid, malonic acid, succinic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, p-toluenesulfonic acid, salicylic acid, and the like. Pharmaceutically acceptable base addition salts can be formed with inorganic and organic bases. Inorganic bases from which salts can be derived include, for example, sodium, potassium, lithium, ammonium, calcium, magnesium, iron, zinc, copper, manganese, aluminum, and the like; particularly preferred are the ammonium, potassium, sodium, calcium and magnesium salts. Organic bases from which salts can be derived include, for example, primary, secondary, and tertiary amines, substituted amines including naturally occurring substituted amines, cyclic amines, basic ion exchange resins, and the like, specifically such as isopropylamine, trimethylamine, diethylamine, triethylamine, tripropylamine, and ethanolamine. Many such salts are known in the art, as described in WO 87/05297, Johnston et al., published Sep. 11, 1987 (incorporated by reference herein in its entirety). Some examples of pharmaceutically acceptable base addition salts of the compounds disclosed herein have the structure of Formula I′, Ia′, Ib′, Ic′, Id′, II′, IIa′, IIc′ or IId′:

wherein each of Z^(⊕) and R may be independently selected from an alkali metal cation or an ammodium cation (NH₄ ⁺).

Some other examples of pharmaceutically acceptable base addition salts of the compounds described herein have the structure of Formula III′, IIIa′, IIIb′, IV′, IVa′, or IVb′:

wherein each of Z^(⊕) and R may be independently selected from an alkali metal cation or an ammodium cation (NH₄ ⁺).

Some other examples of pharmaceutically acceptable base addition salts of the compounds described herein have the structure of Formula V′, Va′, Vb′ or Vc′:

wherein each of Z^(⊕) and R may be independently an alkali metal cation or an ammodium cation (NH₄ ⁺).

Methods of Preparation

The compounds disclosed herein may be synthesized by methods described below, or by modification of these methods. Ways of modifying the methodology include, among others, temperature, solvent, reagents etc., known to those skilled in the art. In general, during any of the processes for preparation of the compounds disclosed herein, it may be necessary and/or desirable to protect sensitive or reactive groups on any of the molecules concerned. This may be achieved by means of conventional protecting groups, such as those described in Protective Groups in Organic Chemistry (ed. J. F. W. McOmie, Plenum Press, 1973); and P. G. M. Green, T. W. Wutts, Protecting Groups in Organic Synthesis (3rd ed.) Wiley, New York (1999), which are both hereby incorporated herein by reference in their entirety. The protecting groups may be removed at a convenient subsequent stage using methods known from the art. Synthetic chemistry transformations useful in synthesizing applicable compounds are known in the art and include e.g. those described in R. Larock, Comprehensive Organic Transformations, VCH Publishers, 1989, or L. Paquette, ed., Encyclopedia of Reagents for Organic Synthesis, John Wiley and Sons, 1995, which are both hereby incorporated herein by reference in their entirety. The routes shown and described herein are illustrative only and are not intended, nor are they to be construed, to limit the scope of the claims in any manner whatsoever. Those skilled in the art will be able to recognize modifications of the disclosed syntheses and to devise alternate routes based on the disclosures herein; all such modifications and alternate routes are within the scope of the claims.

In the following schemes, protecting groups for oxygen atoms are selected for their compatibility with the requisite synthetic steps as well as compatibility of the introduction and deprotection steps with the overall synthetic schemes (P. G. M. Green, T. W. Wutts, Protecting Groups in Organic Synthesis (3rd ed.) Wiley, New York (1999)). Handling of protecting and/or sterodirecting groups specific to boronic acid derivatives is described in a recent review of chemistry of boronic acids: D. G. Hall (Ed.), Boronic Acids. Preparation and Application in Organic Synthesis and Medicine, Wiley VCH (2005) and in earlier reviews: Matteson, D. S. (1988). Asymmetric synthesis with boronic esters. Accounts of Chemical Research, 21(8), 294-300, and Matteson, D. S. (1989). Tetrahedron, 45(7), 1859-1885), all of which are incorporated herein by reference in their entirety. The latter review articles also describe methodology for stereoselective insertion of halomethine functionality next to the boronate which is employed in the synthetic schemes below.

In addition to standard acid catalyzed deprotection, special methods for removal of boronic acid protecting and/or sterodirecting groups methods using fluorides (Yuen, A. K. L., & Hutton, C. A. (2005). Tetrahedron Letters, 46(46), 7899-7903, which is incorporated herein by reference in its entirety) or periodate oxidation (Coutts, S. J., et al. (1994). Tetrahedron Letters, 35(29), 5109-5112, which is incorporated herein by reference in its entirety) can also be employed in preparations of the compounds disclosed herein.

In strategies employing pinanediol or other diol-based chiral auxiliaries for stereospecific introduction of new chiral centers, the early stages of chemistry on boronic intermediates can be performed on chiral boronate esters or alternatively nonchiral borate/boronate intermediates can be used in early stages followed by transesterification with chiral diols prior to the step where stereoselection is required.

Exemplary Synthetic Schemes for the Preparation of Compounds of Formulae I, III and V

The following example schemes are provided for the guidance of the reader, and collectively represent an example method for making the compounds encompassed herein. Furthermore, other methods for preparing compounds described herein will be readily apparent to the person of ordinary skill in the art in light of the following reaction schemes and examples. Unless otherwise indicated, all variables are as defined above.

Compounds of formula IX (embodiments of the compound of Formula I) where R is H can be prepared as depicted in Schemes 1-4 from key intermediates I-3, II-5, III-3 and IV-1, which may be assembled by known reactions (Boronic Acids: Preparations and Applications in Organic Synthesis, Medicine and Materials, D. G. Hall, ed., Wiley-VCH, Weinheim, 2011, which is incorporated herein by reference in its entirety).

Compounds of formula IX can be made starting from protected aryl or heteroaryl precursors of formula I-1 via Z-vinyl boronate (I-3) followed by cyclopropanation and deprotection. The compounds of formula I-3 may be attained from I-2 (where X is halogen), which may be made by means of known methods of Z-haloalkene formation (Tetrahedron Lett., 2001, 42, 3893-3896) with conventional protecting groups for R′, R″, and R′″, such as those described in Protective Groups in Organic Chemistry (ed. J. F. W. McOmie, Plenum, 1973, which is incorporated herein by reference in its entirety); and Protecting Groups in Organic Synthesis P. G. M. Wutts, T. W. Green, Wiley, New York, 1999, which is incorporated herein by reference in its entirety). Aryl compounds of formula I-2 upon borylation by well-known available methods (Chem. Rev. 2010, 110, 890-931, which is incorporated herein by reference in its entirety) and boronate ester formation with desired chiral auxiliary give intermediates of formula I-3. Alternatively vinyl boronate derivative I-3 can also be made via acetylene derivative of formula I-5, which can be made from compounds of formula I-1 by acetylene coupling such as in Sonogoshira reaction. Phenyl acetylene derivatives of formula I-5 can be transformed into Z-vinylboronates (I-3) by ruthenium hydride pincer complex catalysed addition of pinacolborane to terminal alkynes. (J. Am. Chem. Soc., 2012, 134, 14349-14352). A Cu-catalysed Z-selective hydroboration of alkynes with 1,8-diaminonaphthaleneborane may also be utilized to make compounds of formula I-3 from terminal alkynes (I-5) (Org. Lett., 2016, 18, 1390-1393). Terminal acetylenes of formula I-5 can be selectively transformed under silver catalyzed hydroboration conditions to compounds of formula I-6 (Tetrahedron, 2014, 70, 5815-5819). Such alkynyl boronates of formula I-6 can be reduced stereoselectively to the cis-alkenyl pinacolboronates (I-3) via hydroboration with dicyclohexylborane (J. Org. Chem., 2008, 73, 6841-6844).

Cyclopropanation of compounds of formula I-3 to I-4 may be attained by palladium or Zn mediated carbene additions (J. Am. Chem. Soc., 2015, 137, 13176-13182). Such transformations can also be done to give compounds of 1-4 in high enantioselectivity (Tetrahedron, 2008, 64, 7041-7095; Eur. J. Org. Chem. 2000, 2557-2562). Alternatively, dimethyloxosulfonium methylide also reacts with enones to undergo 1,4-addition followed by ring closure to give a cyclopropane derivatives (Tetrahedron Lett., 2003, 44, 3629-3630). A phosphate carbenoid (RO)₂P(O)OZnCH₂I (J. Org. Chem., 2010, 75, 1244-1250; Org. Process Res. Dev., 2016, 20, 786-798) that can be stored may be utilized in such cyclopropanations from I-3 to I-4. Iodonium ylides derived from malonate methyl ester may also be utilized for higher reactivity in the Rh catalyzed cyclopropanation (Org. Lett., 2012, 14, 317-3173).

Simultaneous deprotection of pinane ester and salicylic acid protective groups of compounds of formula I-4 can be achieved by treating with dilute HCl or trifluoroacetic acid, affording the desired compounds of structure IX. This transformation may also be achieved by treatment with BCl₃ or BBr₃ as disclosed in WO 2009/064414, which is incorporated herein by reference in its entirety. Alternatively, the deprotection may be attained via trans-esterification with isobutyl boronic acid in presence of dilute acid (as disclosed in WO 2009/064413, which is incorporated herein by reference in its entirety) or via other known methods (J. Org. Chem. (2010), 75, 468-471, which is incorporated herein by reference in its entirety). A two-step procedure for deprotection of alkylpinacolylboronate esters is also known via transesterification with diethanolamine followed by hydrolysis (J. Org. Chem., 2011, 76, 3571-3575). Compounds of formula I-4 where Z is DAN (1,8-diaminonaphthalene) protected boramide may be deprotected utilizing mild acidic conditions (J. Am. Chem. Soc. 2007, 129, 758-759)

In an alternative sequence, compounds of formula IX can be made via a convergent approach from intermediates II-3 and II-4 as shown in Scheme 2. Salicylic acid derivatives of formula II-4 where Y is a leaving group undergo coupling reaction with Reformatsky reagent of II-3 in Negishi conditions to give intermediates of formula II-5 (Tetrahedron, 2014, 1508-1515; J. Org. Chem., 2013, 78, 8250-8266, each of which is incorporated herein by reference in its entirety). Intermediates of formula II-4 where Y is B(OH)₂ undergo palladium mediated Suzuki type cross-coupling with II-3 (J. Org. Chem., 1996, 61, 8718-8719) to give compounds of formula II-5. Intermediates of II-3 can be made by decarboxylation of II-2 (the preparation of which is disclosed in WO 2011154953), which in turn may be made from corresponding carboxylic acid via C—H insertion (Angew. Chem. Int. Ed., 2016, 55, 785-789), or via Simmons-Smith reaction of cis-vinyl boronate precursors (Eur. J. Org. Chem. 2000, 2557-2562). Intermediates of formula II-5 can be further transformed to compound of formula IX under the conditions described in scheme 1.

In another example, compounds of formula XI (embodiments of the compound of Formula V) can be made via borylation followed by cyclopropanation from acetylene intermediate III-2 as shown in Scheme 3. Alcohols of formula III-1 can be made by a variety of ways known in literature in both chiral forms. Such protected alcohols of III-1 may be made by selective reduction of diketones to give 3,5-dihydroxypentanoate m=1) (J. Org. Chem., 2000, 65, 7792-7799) or 3,6-dihydroxypentanoate (m=2) (Org. Biomol. Chem., 2011, 9, 4823-4830) intermediates. Acetylene intermediates of formula III-2 can be made from oxidation of intermediates of III-1 followed by Corey-Fuchs method (Org. Synth. 2005, 81, 1). Alternatively, aldehydes of III-1 can also be transformed to III-2 by treating with dimethyl-1-(1-diazo-2-oxopropyl)phosphonate (J Am. Chem. Soc., 2003, 125, 3714-3715). Such acetylene intermediates of III-2 can be further converted to compounds of XI via borylation, cyclopropanation and deprotection sequence as described above in Scheme 1.

Compounds of formula IV-2 (embodiments of compounds of Formula III), IV-4 (embodiments of compounds of Formula I), and IV-6 (embodiments of compounds of Formula I), may be prepared from appropriately protected vinyl boronate intermediates of formula IV-1 (prepared in Scheme 1) as shown in Scheme 4. Derivatives of formula IV-1 can be directly transformed to vinyl boronates of IV-2 by deprotection in the conditions described above in scheme 1. Intermediates of formula IV-1 may be treated with diazoacetates (Tetrahedron, 2008, 64, 7041-7095) to undergo cyclopropanation followed by selective ester deprotection to carboxylic acid intermediates of formula IV-3. Such carboxylic acids undergo amide formation followed by deprotection to give amide analogs of formula IV-4 (Org. Process Res. Dev., 2016, 20, 140-177). The carboxylic acids of IV-3 may be converted to carbamates (IV-5) via Curtius rearrangement (Chem. Rev. 1988, 88, 297-368; Org. Lett., 2005, 4107-4110; Eur. J. Org. Chem. 2009, 5998-6008 which is incorporated herein by reference in its entirety). Intermediates of IV-5 upon selective hydrolysis of carbamate followed by appropriate amide formation give compounds of formula IV-6. Compounds of formula IV-5 may also be transformed to compounds of formula IX where Y⁵ is —NHC(O)—O— by hydrolysis.

Intermediates of formula V-3 may be prepared as shown in Scheme 5. V-3 may be used in the preparation of compound of formula IX. Such intermediates of formula V-3 can be synthesized from V-2 where X′ is a triflate or bromo or iodo group. Synthesis of boronates of V-3 may be achieved via Miyaura borylation reaction by cross-coupling of bis(pinacolato)diboron (B₂pin₂) with aryl halides (J. Org. Chem., 1995, 60, 7508-7510). The coupling of aryl halides with terminal acetylenes catalyzed by palladium and other transition metals may be achieved via Sonogashira cross-coupling reaction to give acetylenes of formula V-3 (Chem. Soc. Rev., 2011, 40, 5084-5121). Compounds where X′ is substituted with bromo or iodo groups can be attained from appropriately protected commercial 2,5-hydroxy-benzoic acid derivatives (J. Med. Chem., 2003, 46, 3437-3440, which is incorporated herein by reference in its entirety). Intermediates of V-2 can also be prepared via carboxylation of derivatives of formula V-1 where Z′ is a fluoro or OR′ or SR′ by the method described in WO 2012/106995, which is incorporated herein by reference in its entirety.

Synthesis of Prodrugs

Compounds of formula IX where the R is a prodrug moiety may be synthesized by a variety of known methods of different carboxylic acid prodrugs (Prodrugs: Challenges and Rewards, V. J. Stella, et al., ed., Springer, New York, 2007, which is incorporated herein by reference in its entirety). These prodrugs include but are not limited to substituted or non-substituted alkyl esters, (acyloxy)alkyl (Synthesis 2012, 44, 207, which is incorporated herein by reference in its entirety), [(alkoxycarbonyl)oxy]methyl esters (WO10097675, which is incorporated herein by reference in its entirety), or (oxodioxolyl)methyl esters (J. Med. Chem. 1996, 39, 323-338, which is incorporated herein by reference in its entirety). Such prodrugs can be made from compounds of formula VI-1 where R═H by treatment with acid or in neutral conditions (e.g., carbodiimide coupling) in the presence of alcohols (ROH) or via base promoted esterification with RX where X is a leaving group in the presence of an appropriate base.

One exemplary but non-limiting general synthetic scheme for preparing prodrugs is shown in Scheme 6. The boronic acid of formula VI-1 where R is hydrogen can react with a chloro/bromo-substituted prodrug moiety to form a prodrug of formula IX where R is a prodrug moiety. Examples of the prodrug moiety R can be —C₁₋₉alkyl, —CR¹⁰R¹¹OC(O)C₁₋₉alkyl, —CR¹⁰R¹¹OC(O)OC₁₋₉alkyl, and

Alternatively, boronate derivatives of formula VII-1 where Z is a boronate ester of pinacol or pinanediol or boramide of 1,8-diaminonaphthalene (J. Am. Chem. Soc., 2007, 129, 758) or corresponding tetrafluoroborates (Chem. Rev. 2008, 108, 288-325), which is incorporated herein by reference in its entirety) may be also utilized for introduction of prodrugs and convert them to final prodrugs as shown in Scheme 7. Such carboxylic acids (VII-1) can be made from compounds of formula I-4 by selective deprotection of OR′. The prodrug group may also be introduced earlier in the sequence in compounds of formula I-1 where R′ is R. Such sequence where prodrug is introduced in earlier intermediates is only feasible when the ester is stable under the final deprotection conditions to remove the phenol protective group and boronate ester group.

Administration and Pharmaceutical Compositions

The compounds are administered at a therapeutically effective dosage. While human dosage levels have yet to be optimized for the compounds described herein, generally, a daily dose may be from about 0.25 mg/kg to about 120 mg/kg or more of body weight, from about 0.5 mg/kg or less to about 70 mg/kg, from about 1.0 mg/kg to about 50 mg/kg of body weight, or from about 1.5 mg/kg to about 10 mg/kg of body weight. Thus, for administration to a 70 kg person, the dosage range would be from about 17 mg per day to about 8000 mg per day, from about 35 mg per day or less to about 7000 mg per day or more, from about 70 mg per day to about 6000 mg per day, from about 100 mg per day to about 5000 mg per day, or from about 200 mg to about 3000 mg per day. The amount of active compound administered will, of course, be dependent on the subject and disease state being treated, the severity of the affliction, the manner and schedule of administration and the judgment of the prescribing physician.

Administration of the compounds disclosed herein or the pharmaceutically acceptable salts thereof can be via any of the accepted modes of administration for agents that serve similar utilities including, but not limited to, orally, subcutaneously, intravenously, intranasally, topically, transdermally, intraperitoneally, intramuscularly, intrapulmonarilly, vaginally, rectally, or intraocularly. Oral and parenteral administrations are customary in treating the indications that are the subject of the preferred embodiments.

The compounds useful as described above can be formulated into pharmaceutical compositions for use in treatment of these conditions. Standard pharmaceutical formulation techniques are used, such as those disclosed in Remington's The Science and Practice of Pharmacy, 21st Ed., Lippincott Williams & Wilkins (2005), incorporated by reference in its entirety. Accordingly, some embodiments include pharmaceutical compositions comprising: (a) a safe and therapeutically effective amount of a compound described herein (including enantiomers, diastereoisomers, tautomers, polymorphs, and solvates thereof), or pharmaceutically acceptable salts thereof; and (b) a pharmaceutically acceptable carrier, diluent, excipient or combination thereof.

In addition to the selected compound useful as described above, come embodiments include compositions containing a pharmaceutically-acceptable carrier. The term “pharmaceutically acceptable carrier” or “pharmaceutically acceptable excipient” includes any and all solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents and the like. The use of such media and agents for pharmaceutically active substances is well known in the art. Except insofar as any conventional media or agent is incompatible with the active ingredient, its use in the therapeutic compositions is contemplated. In addition, various adjuvants such as are commonly used in the art may be included. Considerations for the inclusion of various components in pharmaceutical compositions are described, e.g., in Gilman et al. (Eds.) (1990); Goodman and Gilman's: The Pharmacological Basis of Therapeutics, 8th Ed., Pergamon Press, which is incorporated herein by reference in its entirety.

Some examples of substances, which can serve as pharmaceutically-acceptable carriers or components thereof, are sugars, such as lactose, glucose and sucrose; starches, such as corn starch and potato starch; cellulose and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose, and methyl cellulose; powdered tragacanth; malt; gelatin; talc; solid lubricants, such as stearic acid and magnesium stearate; calcium sulfate; vegetable oils, such as peanut oil, cottonseed oil, sesame oil, olive oil, corn oil and oil of theobroma; polyols such as propylene glycol, glycerine, sorbitol, mannitol, and polyethylene glycol; alginic acid; emulsifiers, such as the TWEENS; wetting agents, such sodium lauryl sulfate; coloring agents; flavoring agents; tableting agents, stabilizers; antioxidants; preservatives; pyrogen-free water; isotonic saline; and phosphate buffer solutions.

The choice of a pharmaceutically-acceptable carrier to be used in conjunction with the subject compound is basically determined by the way the compound is to be administered.

The compositions described herein are preferably provided in unit dosage form. As used herein, a “unit dosage form” is a composition containing an amount of a compound that is suitable for administration to an animal, preferably mammal subject, in a single dose, according to good medical practice. The preparation of a single or unit dosage form however, does not imply that the dosage form is administered once per day or once per course of therapy. Such dosage forms are contemplated to be administered once, twice, thrice or more per day and may be administered as infusion over a period of time (e.g., from about 30 minutes to about 2-6 hours), or administered as a continuous infusion, and may be given more than once during a course of therapy, though a single administration is not specifically excluded. The skilled artisan will recognize that the formulation does not specifically contemplate the entire course of therapy and such decisions are left for those skilled in the art of treatment rather than formulation.

The compositions useful as described above may be in any of a variety of suitable forms for a variety of routes for administration, for example, for oral, nasal, rectal, topical (including transdermal), ocular, intracerebral, intracranial, intrathecal, intra-arterial, intravenous, intramuscular, or other parental routes of administration. The skilled artisan will appreciate that oral and nasal compositions comprise compositions that are administered by inhalation, and made using available methodologies. Depending upon the particular route of administration desired, a variety of pharmaceutically-acceptable carriers well-known in the art may be used. Pharmaceutically-acceptable carriers include, for example, solid or liquid fillers, diluents, hydrotropies, surface-active agents, and encapsulating substances. Optional pharmaceutically-active materials may be included, which do not substantially interfere with the inhibitory activity of the compound. The amount of carrier employed in conjunction with the compound is sufficient to provide a practical quantity of material for administration per unit dose of the compound. Techniques and compositions for making dosage forms useful in the methods described herein are described in the following references, all incorporated by reference herein: Modern Pharmaceutics, 4th Ed., Chapters 9 and 10 (Banker & Rhodes, editors, 2002); Lieberman et al., Pharmaceutical Dosage Forms: Tablets (1989); and Ansel, Introduction to Pharmaceutical Dosage Forms 8th Edition (2004).

Various oral dosage forms can be used, including such solid forms as tablets, capsules, granules and bulk powders. Tablets can be compressed, tablet triturates, enteric-coated, sugar-coated, film-coated, or multiple-compressed, containing suitable binders, lubricants, diluents, disintegrating agents, coloring agents, flavoring agents, flow-inducing agents, and melting agents. Liquid oral dosage forms include aqueous solutions, emulsions, suspensions, solutions and/or suspensions reconstituted from non-effervescent granules, and effervescent preparations reconstituted from effervescent granules, containing suitable solvents, preservatives, emulsifying agents, suspending agents, diluents, sweeteners, melting agents, coloring agents and flavoring agents.

The pharmaceutically-acceptable carrier suitable for the preparation of unit dosage forms for peroral administration is well-known in the art. Tablets typically comprise conventional pharmaceutically-compatible adjuvants as inert diluents, such as calcium carbonate, sodium carbonate, mannitol, lactose and cellulose; binders such as starch, gelatin and sucrose; disintegrants such as starch, alginic acid and croscarmelose; lubricants such as magnesium stearate, stearic acid and talc. Glidants such as silicon dioxide can be used to improve flow characteristics of the powder mixture. Coloring agents, such as the FD&C dyes, can be added for appearance. Sweeteners and flavoring agents, such as aspartame, saccharin, menthol, peppermint, and fruit flavors, are useful adjuvants for chewable tablets. Capsules typically comprise one or more solid diluents disclosed above. The selection of carrier components depends on secondary considerations like taste, cost, and shelf stability, which are not critical, and can be readily made by a person skilled in the art.

Peroral compositions also include liquid solutions, emulsions, suspensions, and the like. The pharmaceutically-acceptable carriers suitable for preparation of such compositions are well known in the art. Typical components of carriers for syrups, elixirs, emulsions and suspensions include ethanol, glycerol, propylene glycol, polyethylene glycol, liquid sucrose, sorbitol and water. For a suspension, typical suspending agents include methyl cellulose, sodium carboxymethyl cellulose, AVICEL RC-591, tragacanth and sodium alginate; typical wetting agents include lecithin and polysorbate 80; and typical preservatives include methyl paraben and sodium benzoate. Peroral liquid compositions may also contain one or more components such as sweeteners, flavoring agents and colorants disclosed above.

Such compositions may also be coated by conventional methods, typically with pH or time-dependent coatings, such that the subject compound is released in the gastrointestinal tract in the vicinity of the desired topical application, or at various times to extend the desired action. Such dosage forms typically include, but are not limited to, one or more of cellulose acetate phthalate, polyvinylacetate phthalate, hydroxypropyl methyl cellulose phthalate, ethyl cellulose, Eudragit coatings, waxes and shellac.

Compositions described herein may optionally include other drug actives.

Other compositions useful for attaining systemic delivery of the subject compounds include sublingual, buccal and nasal dosage forms. Such compositions typically comprise one or more of soluble filler substances such as sucrose, sorbitol and mannitol; and binders such as acacia, microcrystalline cellulose, carboxymethyl cellulose and hydroxypropyl methyl cellulose. Glidants, lubricants, sweeteners, colorants, antioxidants and flavoring agents disclosed above may also be included.

A liquid composition, which is formulated for topical ophthalmic use, is formulated such that it can be administered topically to the eye. The comfort should be maximized as much as possible, although sometimes formulation considerations (e.g. drug stability) may necessitate less than optimal comfort. In the case that comfort cannot be maximized, the liquid should be formulated such that the liquid is tolerable to the patient for topical ophthalmic use. Additionally, an ophthalmically acceptable liquid should either be packaged for single use, or contain a preservative to prevent contamination over multiple uses.

For ophthalmic application, solutions or medicaments are often prepared using a physiological saline solution as a major vehicle. Ophthalmic solutions should preferably be maintained at a comfortable pH with an appropriate buffer system. The formulations may also contain conventional, pharmaceutically acceptable preservatives, stabilizers and surfactants.

Preservatives that may be used in the pharmaceutical compositions disclosed herein include, but are not limited to, benzalkonium chloride, PHMB, chlorobutanol, thimerosal, phenylmercuric, acetate and phenylmercuric nitrate. A useful surfactant is, for example, Tween 80. Likewise, various useful vehicles may be used in the ophthalmic preparations disclosed herein. These vehicles include, but are not limited to, polyvinyl alcohol, povidone, hydroxypropyl methyl cellulose, poloxamers, carboxymethyl cellulose, hydroxyethyl cellulose and purified water.

Tonicity adjustors may be added as needed or convenient. They include, but are not limited to, salts, particularly sodium chloride, potassium chloride, mannitol and glycerin, or any other suitable ophthalmically acceptable tonicity adjustor.

Various buffers and means for adjusting pH may be used so long as the resulting preparation is ophthalmically acceptable. For many compositions, the pH will be between 4 and 9. Accordingly, buffers include acetate buffers, citrate buffers, phosphate buffers and borate buffers. Acids or bases may be used to adjust the pH of these formulations as needed.

In a similar vein, an ophthalmically acceptable antioxidant includes, but is not limited to, sodium metabisulfite, sodium thiosulfate, acetylcysteine, butylated hydroxyanisole and butylated hydroxytoluene.

Other excipient components, which may be included in the ophthalmic preparations, are chelating agents. A useful chelating agent is edetate disodium, although other chelating agents may also be used in place or in conjunction with it.

For topical use, creams, ointments, gels, solutions or suspensions, etc., containing the compound disclosed herein are employed. Topical formulations may generally be comprised of a pharmaceutical carrier, co-solvent, emulsifier, penetration enhancer, preservative system, and emollient.

For intravenous administration, the compounds and compositions described herein may be dissolved or dispersed in a pharmaceutically acceptable diluent, such as a saline or dextrose solution. Suitable excipients may be included to achieve the desired pH, including but not limited to NaOH, sodium carbonate, sodium acetate, HCl, and citric acid. In various embodiments, the pH of the final composition ranges from 2 to 8, or preferably from 4 to 7. Antioxidant excipients may include sodium bisulfite, acetone sodium bisulfite, sodium formaldehyde, sulfoxylate, thiourea, and EDTA. Other non-limiting examples of suitable excipients found in the final intravenous composition may include sodium or potassium phosphates, citric acid, tartaric acid, gelatin, and carbohydrates such as dextrose, mannitol, and dextran. Further acceptable excipients are described in Powell, et al., Compendium of Excipients for Parenteral Formulations, PDA J Pharm Sci and Tech 1998, 52 238-311 and Nema et al., Excipients and Their Role in Approved Injectable Products: Current Usage and Future Directions, PDA J Pharm Sci and Tech 2011, 65 287-332, both of which are incorporated herein by reference in their entirety. Antimicrobial agents may also be included to achieve a bacteriostatic or fungistatic solution, including but not limited to phenylmercuric nitrate, thimerosal, benzethonium chloride, benzalkonium chloride, phenol, cresol, and chlorobutanol.

The compositions for intravenous administration may be provided to caregivers in the form of one more solids that are reconstituted with a suitable diluent such as sterile water, saline or dextrose in water shortly prior to administration. In other embodiments, the compositions are provided in solution ready to administer parenterally. In still other embodiments, the compositions are provided in a solution that is further diluted prior to administration. In embodiments that include administering a combination of a compound described herein and another agent, the combination may be provided to caregivers as a mixture, or the caregivers may mix the two agents prior to administration, or the two agents may be administered separately.

The actual dose of the active compounds described herein depends on the specific compound, and on the condition to be treated; the selection of the appropriate dose is well within the knowledge of the skilled artisan.

Methods of Treatment

Some embodiments of the present invention include methods of treating bacterial infections with the compounds and compositions comprising the compounds described herein. Some methods include administering a compound, composition, pharmaceutical composition described herein to a subject in need thereof. In some embodiments, a subject can be an animal, e.g., a mammal (including a human). In some embodiments, the bacterial infection comprises a bacteria described herein. As will be appreciated from the foregoing, methods of treating a bacterial infection include methods for preventing bacterial infection in a subject at risk thereof.

In some embodiments, the subject is a human.

Further embodiments include administering a combination of compounds to a subject in need thereof. A combination can include a compound, composition, pharmaceutical composition described herein with an additional medicament.

Some embodiments include co-administering a compound, composition, and/or pharmaceutical composition described herein, with an additional medicament. By “co-administration,” it is meant that the two or more agents may be found in the patient's bloodstream at the same time, regardless of when or how they are actually administered. In one embodiment, the agents are administered simultaneously. In one such embodiment, administration in combination is accomplished by combining the agents in a single dosage form. In another embodiment, the agents are administered sequentially. In one embodiment the agents are administered through the same route, such as orally. In another embodiment, the agents are administered through different routes, such as one being administered orally and another being administered intravenous (i.v.).

Examples of additional medicaments include an antibacterial agent, antifungal agent, an antiviral agent, an anti-inflammatory agent and an anti-allergic agent.

Preferred embodiments include combinations of a compound, composition or pharmaceutical composition described herein with an antibacterial agent such as a β-lactam. Examples of such β-lactams include Amoxicillin, Ampicillin (e.g., Pivampicillin, Hetacillin, Bacampicillin, Metampicillin, Talampicillin), Epicillin, Carbenicillin (Carindacillin), Ticarcillin, Temocillin, Azlocillin, Piperacillin, Mezlocillin, Mecillinam (Pivmecillinam), Sulbenicillin, Benzylpenicillin (G), Clometocillin, Benzathine benzylpenicillin, Procaine benzylpenicillin, Azidocillin, Penamecillin, Phenoxymethylpenicillin (V), Propicillin, Benzathine phenoxymethylpenicillin, Pheneticillin, Cloxacillin (e.g., Dicloxacillin, Flucloxacillin), Oxacillin, Methicillin, Nafcillin, Faropenem, Biapenem, Doripenem, Ertapenem, Imipenem, Meropenem, Panipenem, Cefazolin, Cefacetrile, Cefadroxil, Cefalexin, Cefaloglycin, Cefalonium, Cefaloridine, Cefalotin, Cefapirin, Cefatrizine, Cefazedone, Cefazaflur, Cefradine, Cefroxadine, Ceftezole, Cefaclor, Cefamandole, Cefminox, Cefonicid, Ceforanide, Cefotiam, Cefprozil, Cefbuperazone, Cefuroxime, Cefuzonam, Cefoxitin, Cefotetan, Cefmetazole, Loracarbef, Cefixime, Ceftazidime, Ceftriaxone, Cefcapene, Cefdaloxime, Cefdinir, Cefditoren, Cefetamet, Cefmenoxime, Cefodizime, Cefoperazone, Cefotaxime, Cefpimizole, Cefpiramide, Cefpodoxime, Cefsulodin, Cefteram, Ceftibuten, Ceftiolene, Ceftizoxime, Flomoxef, Latamoxef, Cefepime, Cefozopran, Cefpirome, Cefquinome, Ceftobiprole, Ceftaroline, Ceftiofur, Cefquinome, Cefovecin, Aztreonam, Tigemonam and Carumonam.

Preferred embodiments include β-lactams such as Ceftazidime, Biapenem, Doripenem, Ertapenem, Imipenem, Meropenem, Tebipenem, Tebipenem pivoxil, Apapenem, and Panipenem.

Additional preferred embodiments include β-lactams such as Aztreonam, Tigemonam, and Carumonam.

Some embodiments include a combination of the compounds, compositions and/or pharmaceutical compositions described herein with an additional agent, wherein the additional agent comprises a monobactam. Examples of monobactams include aztreonam, tigemonam, nocardicin A, carumonam, and tabtoxin. In some such embodiments, the compound, composition and/or pharmaceutical composition comprises a class A, C, or D beta-lactamase inhibitor. Some embodiments include co-administering the compound, composition or pharmaceutical composition described herein with one or more additional agents.

Some embodiments include a combination of the compounds, compositions and/or pharmaceutical compositions described herein with an additional agent, wherein the additional agent comprises a class B beta lactamase inhibitor. An example of a class B beta lactamase inhibitor includes ME1071 (Yoshikazu Ishii et al, “In Vitro Potentiation of Carbapenems with ME1071, a Novel Metallo-β-Lactamase Inhibitor, against Metallo-β-lactamase Producing Pseudomonas aeruginosa Clinical Isolates.” Antimicrob. Agents Chemother. doi:10.1128/AAC.01397-09 (July 2010)). Some embodiments include co-administering the compound, composition or pharmaceutical composition described herein with one or more additional agents.

Some embodiments include a combination of the compounds, compositions and/or pharmaceutical compositions described herein with an additional agent, wherein the additional agent comprises one or more agents that include a class A, B, C, or D beta lactamase inhibitor. Some embodiments include co-administering the compound, composition or pharmaceutical composition described herein with the one or more additional agents.

Indications

The compounds and compositions comprising the compounds described herein can be used to treat bacterial infections. Bacterial infections that can be treated with the compounds, compositions and methods described herein can comprise a wide spectrum of bacteria. Example organisms include gram-positive bacteria, gram-negative bacteria, aerobic and anaerobic bacteria, such as Staphylococcus, Lactobacillus, Streptococcus, Sarcina, Escherichia, Enterobacter, Klebsiella, Pseudomonas, Acinetobacter, Mycobacterium, Proteus, Campylobacter, Citrobacter, Nisseria, Baccillus, Bacteroides, Peptococcus, Clostridium, Salmonella, Shigella, Serratia, Haemophilus, Brucella and other organisms.

More examples of bacterial infections include Pseudomonas aeruginosa, Pseudomonas fluorescens, Pseudomonas acidovorans, Pseudomonas alcaligenes, Pseudomonas putida, Stenotrophomonas maltophilia, Burkholderia cepacia, Aeromonas hydrophilia, Escherichia coli, Citrobacter freundii, Salmonella typhimurium, Salmonella typhi, Salmonella paratyphi, Salmonella enteritidis, Shigella dysenteriae, Shigella flexneri, Shigella sonnei, Enterobacter cloacae, Enterobacter aerogenes, Klebsiella pneumoniae, Klebsiella oxytoca, Serratia marcescens, Francisella tularensis, Morganella morganii, Proteus mirabilis, Proteus vulgaris, Providencia alcalifaciens, Providencia rettgeri, Providencia stuartii, Acinetobacter baumannii, Acinetobacter calcoaceticus, Acinetobacter haemolyticus, Yersinia enterocolitica, Yersinia pestis, Yersinia pseudotuberculosis, Yersinia intermedia, Bordetella pertussis, Bordetella parapertussis, Bordetella bronchiseptica, Haemophilus influenzae, Haemophilus parainfluenzae, Haemophilus haemolyticus, Haemophilus parahaemolyticus, Haemophilus ducreyi, Pasteurella multocida, Pasteurella haemolytica, Branhamella catarrhalis, Helicobacter pylori, Campylobacter fetus, Campylobacter jejuni, Campylobacter coli, Borrelia burgdorferi, Vibrio cholerae, Vibrio parahaemolyticus, Legionella pneumophila, Listeria monocytogenes, Neisseria gonorrhoeae, Neisseria meningitidis, Kingella, Moraxella, Gardnerella vaginalis, Bacteroides fragilis, Bacteroides distasonis, Bacteroides 3452A homology group, Bacteroides vulgatus, Bacteroides ovalus, Bacteroides thetaiotaomicron, Bacteroides uniformis, Bacteroides eggerthii, Bacteroides splanchnicus, Clostridium difficile, Mycobacterium tuberculosis, Mycobacterium avium, Mycobacterium intracellulare, Mycobacterium leprae, Corynebacterium diphtherias, Corynebacterium ulcerans, Streptococcus pneumoniae, Streptococcus agalactiae, Streptococcus pyogenes, Enterococcus faecalis, Enterococcus faecium, Staphylococcus aureus, Staphylococcus epidermidis, Staphylococcus saprophyticus, Staphylococcus intermedius, Staphylococcus hyicus subsp. hyicus, Staphylococcus haemolyticus, Staphylococcus hominis, or Staphylococcus saccharolyticus.

To further illustrate this invention, the following examples are included. The examples should not, of course, be construed as specifically limiting the invention. Variations of these examples within the scope of the claims are within the purview of one skilled in the art and are considered to fall within the scope of the invention as described, and claimed herein. The reader will recognize that the skilled artisan, armed with the present disclosure, and skill in the art is able to prepare and use the invention without exhaustive examples. The following examples will further describe the present invention, and are used for the purposes of illustration only, and should not be considered as limiting.

EXAMPLES General Procedures

Materials used in preparing the cyclic boronic acid ester derivatives described herein may be made by known methods or are commercially available. It will be apparent to the skilled artisan that methods for preparing precursors and functionality related to the compounds claimed herein are generally described in the literature including, for example, procedures described in U.S. Pat. No. 7,271,186 and WO2009064414, each of which is incorporated by reference in its entirety. In these reactions, it is also possible to make use of variants which are themselves known to those of ordinary skill in this art, but are not mentioned in greater detail. The skilled artisan given the literature and this disclosure is well equipped to prepare any of the compounds.

It is recognized that the skilled artisan in the art of organic chemistry can readily carry out manipulations without further direction, that is, it is well within the scope and practice of the skilled artisan to carry out these manipulations. These include reduction of carbonyl compounds to their corresponding alcohols, oxidations, acylations, aromatic substitutions, both electrophilic and nucleophilic, etherifications, esterification and saponification and the like. These manipulations are discussed in standard texts such as March Advanced Organic Chemistry (Wiley), Carey and Sundberg, Advanced Organic Chemistry (incorporated herein by reference in their entirety) and the like.

The skilled artisan will readily appreciate that certain reactions are best carried out when other functionality is masked or protected in the molecule, thus avoiding any undesirable side reactions and/or increasing the yield of the reaction. Often the skilled artisan utilizes protecting groups to accomplish such increased yields or to avoid the undesired reactions. These reactions are found in the literature and are also well within the scope of the skilled artisan. Examples of many of these manipulations can be found for example in T. Greene and P. Wuts Protecting Groups in Organic Synthesis, 4th Ed., John Wiley & Sons (2007), incorporated herein by reference in its entirety.

The following example schemes are provided for the guidance of the reader, and represent preferred methods for making the compounds exemplified herein. These methods are not limiting, and it will be apparent that other routes may be employed to prepare these compounds. Such methods specifically include solid phase based chemistries, including combinatorial chemistry. The skilled artisan is thoroughly equipped to prepare these compounds by those methods given the literature and this disclosure. The compound numberings used in the synthetic schemes depicted below are meant for those specific schemes only, and should not be construed as or confused with same numberings in other sections of the application.

Trademarks used herein are examples only and reflect illustrative materials used at the time of the invention. The skilled artisan will recognize that variations in lot, manufacturing processes, and the like, are expected. Hence the examples, and the trademarks used in them are non-limiting, and they are not intended to be limiting, but are merely an illustration of how a skilled artisan may choose to perform one or more of the embodiments of the invention.

Example 1 Disodium salt of 2-Hydroxy-5-methoxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylic acid (Compound 1′)

Step 1: Synthesis of 1B

A solution of bromine (14.06 mL, 274 mmol, 1 eq.) in CH₂Cl₂ (20 mL) was added slowly over 8 h to a suspension of 2,6-dimethoxybenzoic acid (1A) (50 g, 274 mmol) in CH₂Cl₂ (200 mL). After stirring at rt overnight, the light orange slurry was heated and a portion of the solvent (methyl bromide, hydrogen bromide and CH₂Cl₂) was removed by distillation at atmospheric pressure (total volume distilled 100 mL). Ethanol (150 mL) was added and the remaining CH₂Cl₂ was distilled off at atmospheric pressure, slowly increasing the bath temperature to 90° C. Upon completion of the distillation (1 h), the heterogeneous mixture was cooled to rt. After stirring 1 h at rt, the slurry was cooled to 0° C. After stirring at 0° C. for 2 h, the solids were collected by filtration. The filtrate was recirculated to rinse the flask and stir bar. The solids were rinsed with ethanol at 0° C. (2×50 mL), air dried, then dried under high vacuum to give 1B as fine white needles (58.23 g, 85.9%).

Step 2: Synthesis of 1C

A 10-mL syringe filled with trifluoroacetic anhydride (11.25 mL, 81 mmol, 2 eq) and a 20-mL syringe filled with acetone (17 mL, 232 mmol, 5.7 eq) were added simultaneously via syringe pump over 24 hours to a clear solution of 1B (10 g, 40 mmol) in TFA (10 mL) at 70° C. After 1 hour, the starting material began to crystallize out. TFA (5 mL) was added, affording a clear solution. After another hour at 70° C. the solution became slightly heterogeneous. Upon completion of the addition, HPLC showed 89:11 product to starting material. After stirring at 70° C. overnight, the ratio was 92:8. The reaction mixture was cooled to rt, diluted with ethyl acetate (15 mL), filtered over celite, and the pad and flask were rinsed with ethyl acetate (2×10 mL). The clear black filtrate was concentrated to dryness. The solids were taken up in ethyl acetate (50 mL) and CH₂Cl₂ (10 mL, to improve solubility of the product) and washed twice with a saturated solution of NaHCO₃ (50 and 30 mL). The brown/black solution was concentrated to dryness. The residue was taken up in ethyl acetate (10 mL) and the mixture was heated to reflux. Heptane (3×10 mL) was added and the mixture was brought to reflux (after the last addition of heptane, the product started crystallizing). The heterogeneous mixture was refluxed for 15 min and was allowed to cool to rt. After stirring at rt for 2 hours and 0° C. for 2 hours, the solids were collected by filtration. The filtrate was recirculated to rinse the flask. The solids were rinsed with 3:1 heptane/ethyl acetate at 0° C. (2×10 mL), air dried, then dried under high vacuum to give 1C as a light tan powder (8.83 g, 76%).

Step 3: Synthesis of Compound 1D

To the solution of compound 1C (8.61 g, 30 mmol, 1.0 eq) in DMF (30 mL) was added acrylic acid (3.1 mL, 45 mmol, 1.5 eq), TEA (12.5 mL, 90 mmol, 3 eq), Pd(OAc)₂ (337 mg, 1.5 mmol, 0.05 eq) and tri(o-tolyl)phosphine (913 mg, 3.0 mmol, 0.1 eq). The reaction mixture was flushed with nitrogen and stirred at 100° C. for 14 hours. The reaction mixture was concentrated to dryness and the solid was washed with 0.2N HCl and DCM to give compound 1D (5.3 g, 64%) as off-white solid, which is pure enough. ¹H NMR (CDCl₃, 300 MHz): δ7.70-7.64 (m, 2H), 6.63 (d, J=9.0 Hz, 1H), 6.29 (d, J=16.2 Hz, 1H), 3.89 (s, 3H), 1.65 (s, 6H).

Step 4: Synthesis of Compound 1E

To the suspension of compound 1D (5.2 g, 18.7 mmol, 1.0 eq) in chloroform (200 mL) was added bromine liquid (1.1 mL, 21.5 mmol, 1.15 eq) dropwise in 5 minutes at 0° C. The reaction solution was stirred at 0° C. for 2 hours before it was concentrated under reduced pressure. The obtained yellow solid is crude compound 1E (8.2 g, 99%), which was used directly for next step without purification.

Step 5: Synthesis of Compound 1F

To the solution of compound 1E (8.2 g, 18.7 mmol, 1.0 eq) in DMF (24 mL) was added triethylamine (5.2 mL, 37.4 mmol, 2.0 eq) dropwise in 2 minutes at 0° C. The resulting reaction mixture was slowly warmed up to rt and stirred for 8 hours. The reaction mixture was diluted with EtOAc and washed with 0.1N HCl and water. After dried over Na₂SO₄, the organic layer was concentrated and chromatography (hexanes/EtOAc=3/1 to 1/1) to give compound 1F (3.2 g) as off-white solid. ¹H NMR (CDCl₃, 300 MHz): δ8.23 (d, J=9.3 Hz, 1H), 7.09 (d, J=8.4 Hz, 1H), 6.69 (d, J=9.0 Hz, 1H), 6.44 (d, J=8.4 Hz, 1H), 3.99 (s, 3H), 1.72 (s, 6H).

Step 6: Synthesis of Compound 1G

The mixture of compound 1F (626 mg, 2.0 mmol, 1.0 eq), bis((+)pinanediolato)diboron (1.1 g, 3.0 mmol, 1.5 eq), PdCl₂(dppf) (163 mg, 0.2 mmol, 0.1 eq) and KOAc (400 mg, 4.0 mmol, 2.0 eq) in dioxane (15 mL) was stirred at 60° C. for 2 hours under nitrogen atmosphere. The reaction mixture was diluted with EtOAc and washed with 0.1N HCl and water. After dried over Na₂SO₄, the organic layer was concentrated and purified by column chromatography (hexanes/EtOAc=3/1 to 1/1) to give compound 1G (605 mg, 73%) as yellow solid. ESI-MS: [M+H]⁺: 413

Step 7: Synthesis of Compound 1H

To the solution of compound 1G (98 mg, 0.24 mmol, 1.0 eq) and Pd(OAc)₂ (2.7 mg, 0.012 mmol, 0.05 eq) in THF (3 mL) was slowly added diazomethane (5 mL, freshly made, about 0.2 to 0.3 M in ether) at −10° C. in 15 minutes. The solution was slowly warmed up to rt and stirred for 2 hours before it was concentrated to dryness. The obtained residue was and purified by column chromatography (hexanes/EtOAc=3/1 to 1/1) to give compound 111 (70 mg, 70%) as yellow oil. ESI-MS: [M+H]⁺: 427

Step 8: Synthesis of Compound 1′

The mixture of compound 111 (95 mg, 0.22 mmol, 1.0 eq) in dioxane (1.5 mL) and 3N NaOH (1.5 mL) was stirred at rt for 1 hour, LCMS indicating the disappearance of starting material. The reaction mixture was cooled to 0° C. and TES (200 mg), TFA (5 mL) and i-BuB(OH)₂ (80 mg) was added in sequence. The resulting yellow clear solution was stirred at rt for 2 hours before it was concentrated to dryness. The residue was dissolved in water/MeCN and purified by prep-HPLC (C18, acetonitrile and water as mobile phases, 0.1% HCOOH). The obtained solid (26 mg) was dissolved in MeCN/water and adjusted to pH=9.5 with IN NaOH (0.22 mL). After lyophilization, the obtained crude sodium salt of Compound 1 was dissolved in 0.6 mL water and was added acetone (1.1 mL) dropwise. The resulting suspension was stirred at rt for 3 hours. The mixture was filtered and the solid was washed with 10% water in acetone twice to give sodium salt of Compound 1 (24 mg) as a white solid. ¹H NMR (D₂O, 300 MHz): δ6.83 (d, J=8.4 Hz, 1H), 6.15 (d, J=8.4 Hz, 1H), 3.50 (s, 3H), 1.60-1.48 (m, 1H), 0.60-0.46 (m, 1H), 0.06-0.10 (m, 2H). ESI-MS: [M−H₂O+H]⁺: 217

Example 2 Disodium salt of (1aS,7bR)-2-hydroxy-5-methoxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylic acid (Compound 2′)

Step 1: Synthesis of Compound 2A

The mixture of compound 1F (940 mg, 3.0 mmol, 1.0 eq), bis((−) pinanediolato)diboron (1.4 g, 3.9 mmol, 1.3 eq), PdCl₂(dppf) (245 mg, 0.3 mmol, 0.1 eq) and KOAc (600 mg, 6.0 mmol, 2.0 eq) in dioxane (15 mL) was stirred at 60° C. for 2 hours under nitrogen atmosphere. The reaction mixture was diluted with EtOAc and washed with 0.1N HCl and water. After dried over Na₂SO₄, the organic layer was concentrated and purified by column chromatography (hexanes/EtOAc=3/1 to 1/1) to give compound 2A (560 mg, 45%) as a yellow solid. ESI-MS: [M+H]⁺: 413

Step 2: Synthesis of Compound 2C

To the solution of Et₂Zn (11.0 mL, 1M in hexanes, 11.0 mmol, 8.0 eq) in DCM (8 mL) was added diiodomethane (1.44 mL, 16.0 mmol, 12 eq) dropwise in 3 minutes at −78° C. under nitrogen atmosphere. The resulting white mixture was stirred at −78° C. for 10 minutes before compound 2A (560 mg, 1.36 mmol, 1.0 eq) in DCM (6 mL) was added dropwise in 5 minutes. The solution was slowly warmed up to rt in 6 hours and stirred for 30 hours. The reaction mixture was quenched with saturated aqueous ammonium chloride solution was extracted with EtOAc (2×). The combined organic layer was dried over Na₂SO₄ and then concentrated to dryness. The residue was briefly purified by column chromatography (hexanes/EtOAc=3/1 to 1/1) to give a mixture of two isomers (2B and 2C) (510 mg, NMR/HPLC showed 1:3 ratio of two isomers) as yellow oil. The mixture was further purified by prep-HPLC (C18, acetonitrile and water as mobile phases, 0.1% HCOOH) to give 3C as a white solid (154 mg). ESI-MS: [M+H]⁺: 427.

Step 3: Synthesis of Compound 2′

The mixture of compound 2C (217 mg, 0.51 mmol, 1.0 eq) in dioxane (3.0 mL) and 3N NaOH (3.0 mL) was stirred at rt for 2 hours, LCMS indicating the disappearance of starting material. The reaction mixture was cooled to 0° C. and TES (300 mg), TFA (5 mL) and i-BuB(OH)₂ (150 mg) was added in sequence. The resulting yellow clear solution was stirred at rt for 2 hours before it was concentrated to dryness. The residue was dissolved in water/MeCN and purified by prep-HPLC (C18, acetonitrile and water as mobile phases, 0.1% HCOOH) to give free acid of Compound 2 (74 mg) as a white solid. The obtained solid (74 mg) was dissolved in MeCN/water and adjusted to pH=9.5 with 1N NaOH (0.58 mL). After lyophilization, the obtained crude sodium salt of Compound 2 was dissolved in 1.5 mL water and was added acetone (4.5 mL) dropwise. The resulting suspension was stirred at rt for 3 hours. The mixture was filtered and the solid was washed with 10% water in acetone twice to give Compound 2′ (82 mg) as a white solid. ¹H NMR (D₂O, 300 MHz): δ6.85 (d, J=8.4 Hz, 1H), 6.19 (d, J=8.4 Hz, 1H), 3.53 (s, 3H), 1.62-1.55 (m, 1H), 0.64-0.55 (m, 1H), 0.12-0.050 (m, 2H). ESI-MS: [M−H₂O+H]⁺: 217.

Example 3 Disodium Salt of (1aR,7bS)-2-hydroxy-5-methoxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylic acid (Compound 3′)

Step 1: Synthesis of Compound 3B

To the solution of Et₂Zn (13.6 mL, 1M in hexanes, 13.6 mmol, 8.0 eq) in DCM (8 mL) was added diiodomethane (1.69 mL, 21 mmol, 12 eq) dropwise in 3 minutes at −78° C. under nitrogen atmosphere. The resulting white mixture was stirred at −78° C. for 10 minutes before compound 1G (700 mg, 1.7 mmol, 1.0 eq) in DCM (8 mL) was added dropwise in 5 minutes. The solution was slowly warmed up to rt in 6 hours and stirred for 30 hours. The reaction mixture was quenched with saturated aqueous ammonium chloride solution was extracted with EtOAc (2×). The combined organic layer was dried over Na₂SO₄ and then concentrated to dryness. The residue was briefly purified by column chromatography (hexanes/EtOAc=3/1 to 1/1) to give a mixture of two isomers of compound 3A and 3B (670 mg, NMR/HPLC showed 1:3 ratio of two isomers) as yellow oil. The mixture was further purified by prep-HPLC (C18, acetonitrile and water as mobile phases, 0.1% HCOOH) to give 330 mg pure 3B as a white solid. ESI-MS: [M+H]⁺: 427. Absolute configuration of 3B was defined by Single Crystal X-ray Analysis.

Step 2: Synthesis of Compound 3′

The mixture of compound 3B (245 mg, 0.58 mmol, 1.0 eq) in dioxane (4.0 mL) and 3N NaOH (4.0 mL) was stirred at rt for 2 hours, LCMS indicating the disappearance of starting material. The reaction mixture was cooled to 0° C. and TES (300 mg), TFA (5 mL) and i-BuB(OH)₂ (180 mg) was added in sequence. The resulting yellow clear solution was stirred at rt for 2 hours before it was concentrated to dryness. The residue was dissolved in water/MeCN and purified by prep-HPLC (C18, acetonitrile and water as mobile phases, 0.1% HCOOH) to give free acid Compound 3 (80 mg) as a white solid. The obtained solid (80 mg) was dissolved in MeCN/water and adjusted to pH=9.5 with IN NaOH (0.62 mL). After lyophilization, the obtained crude sodium salt of Compound 3 was dissolved in 1.5 mL water and was added acetone (4.5 mL) dropwise. The resulting suspension was stirred at rt for 3 hours. The mixture was filtered and the solid was washed with 10% water in acetone twice to give Compound 3′ (84 mg) as a white solid. ¹H NMR (D₂O, 300 MHz): δ6.86 (d, J=8.4 Hz, 1H), 6.20 (d, J=8.1 Hz, 1H), 3.53 (s, 3H), 1.64-1.55 (m, 1H), 0.64-0.55 (m, 1H), 0.13-0.05 (m, 2H). ESI-MS: [M−H₂O+H]⁺: 217.

Example 4 Disodium Salt of 5-Fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylic acid (Compound 4′)

Step 1: Synthesis of Compound 4A

Compound 4A was prepared from Boc-t-Butyl ester intermediate (previously disclosed in WO 2015/179308) by TFA deprotection followed by isopropylidene protection as described in step 2 of Example 1.

Step 2: Synthesis of Compound 4B

To the solution of compound 4A (16.0 g, 58 mmol, 1.0 eq) in DMF (50 mL) was added acrylic acid (6.0 mL, 87 mmol, 1.5 eq), TEA (24 mL, 175 mmol, 3 eq), Pd(OAc)₂ (651 mg, 2.9 mmol, 0.05 eq) and tri(o-tolyl)phosphine (1.77 g, 5.8 mmol, 0.1 eq). The reaction mixture was flushed with nitrogen and stirred at 100° C. for 14 hours. The reaction mixture was concentrated to dryness and the solid was washed with 0.2N HCl and DCM to give a yellow solid. The solid was re-crystallized in EtOAc and hexanes to give compound 4B (8.2 g, 53%) as an off-white solid. ¹H NMR (CD₃OD, 400 MHz): δ8.01 (dd, 1H), 7.78 (d, J=16.4 Hz, 1H), 7.00 (dd, 1H), 6.57 (d, J=16.0 Hz, 1H), 1.80 (s, 6H).

Step 3: Synthesis of Compound 4C

To the suspension of compound 4B (8.2 g, 30.8 mmol, 1.0 eq) in chloroform (300 mL) was added bromine liquid (1.8 mL, 35.4 mmol, 1.15 eq) dropwise in 5 minutes at 0° C. The reaction solution was stirred at 0° C. for 2 hours before it was concentrated under reduced pressure. The obtained yellow solid is crude compound 4C (14.7 g), which was used directly for next step without purification.

Step 4: Synthesis of Compound 4D

To the solution of compound 4C (14.7 g, 30.8 mmol, 1.0 eq) in DMF (35 mL) was added triethylamine (8.6 mL, 61.6 mmol, 2.0 eq) dropwise in 2 minutes at 0° C. The resulting reaction mixture was slowly warmed up to rt and stirred for 8 hours. The reaction mixture was diluted with EtOAc and washed with 0.1N HCl and water. After dried over Na₂SO₄, the organic layer was concentrated and chromatography (hexanes/EtOAc=3/1 to 1/1) to give compound 4D (5.5 g) as an off-white solid. ¹H NMR (CDCl₃, 400 MHz): δ8.20 (dd, 1H), 7.08 (d, J=8.0 Hz, 1H), 6.88 (t, J=8.2 Hz, 1H), 6.55 (d, J=8.0 Hz, 1H), 1.75 (s, 6H).

Step 5: Synthesis of Compound 4E

The mixture of compound 4D (700 mg, 2.3 mmol, 1.0 eq), bis((+)pinanediolato)diboron (1.24 g, 3.5 mmol, 1.5 eq), PdCl₂(dppf) (188 mg, 0.23 mmol, 0.1 eq) and KOAc (450 mg, 4.6 mmol, 2.0 eq) in dioxane (15 mL) was stirred at 60° C. for 2 hours under nitrogen atmosphere. The reaction mixture was diluted with EtOAc and washed with 0.1N HCl and water. After dried over Na₂SO₄, the organic layer was concentrated and purified by column chromatography (hexanes/EtOAc=3/1 to 1/1) to give compound 4E (240 mg, 26%) as a yellow solid. ESI-MS: [M+H]⁺: 401.

Step 6: Synthesis of Compound 4F

To the solution of compound 4E (240 mg, 0.6 mmol, 1.0 eq) and Pd(OAc)₂ (6.8 mg, 0.03 mmol, 0.05 eq) in THF (3 mL) was slowly added diazomethane (6 mL, freshly made, about 0.2 to 0.3 M in ether) at −10° C. in 15 minutes. The solution was slowly warmed up to rt and stirred for 2 hours before it was concentrated to dryness. The obtained residue was and purified by column chromatography (hexanes/EtOAc=3/1 to 1/1) to give compound 4F (240 mg, 99%) as yellow oil. ESI-MS: [M+H]⁺: 415.

Step 7: Synthesis of Compound 4′

The mixture of compound 4F (140 mg, 0.34 mmol, 1.0 eq) in dioxane (1.5 mL) and 3N NaOH (1.5 mL) was stirred at rt for 1 hour, LCMS indicating the disappearance of starting material. The reaction mixture was cooled to 0° C. and TES (250 mg), TFA (5 mL) and i-BuB(OH)₂ (100 mg) was added in sequence. The resulting yellow clear solution was stirred at rt for 2 hours before it was concentrated to dryness. The residue was dissolved in water/MeCN and purified by prep-HPLC (C18, acetonitrile and water as mobile phases, 0.1% TFA). The obtained solid (28 mg) was dissolved in MeCN/water and adjusted to pH=9.5 with IN NaOH (0.27 mL). After lyophilization, the crude sodium salt of Compound 4 was dissolved in 1.0 mL water and acetone (8.0 mL) was added dropwise. The resulting suspension was stirred at rt for 3 hours. The mixture was filtered and the solid was washed with 10% water in acetone twice to give Compound 4′ (26 mg) as an off-white solid. ¹H NMR (D₂O, 300 MHz): δ6.87 (t, J=7.2 Hz, 1H), 6.25 (d, J=8.4 Hz, 1H), 1.65-1.56 (m, 1H), 0.67-0.57 (m, 1H), 0.14-0.03 (m, 2H). F NMR (D₂O, 300 MHz): δ −124.9. ESI-MS: [M−H₂O+H]⁺: 205.

Example 5 Disodium Salt of 1,1-Difluoro-2-hydroxy-5-methoxy-1a,7b-dihydrocyclopropa[c][1,2]benzoxaborinine-4-carboxylic acid (Compound 5′)

Step 1: Synthesis of Compound 5A

To the suspension of compound 1G (180 mg, 0.44 mmol, 1.0 eq) and sodium iodide (52 mg, 0.35 mmol, 0.8 eq) in THF (6 mL) was slowly added TMS-CF₃ (0.65 mL, 4.4 mmol, 10 eq) at 65° C. in 6 hours. After another 12 hours, the reaction mixture was cooled down and concentrated to dryness. The obtained residue was and purified by column chromatography (hexanes/EtOAc=4/1 to 1/1) to give compound 5A (40 mg, 20%) as yellow oil. ESI-MS: [M+H]⁺: 463.

Step 2: Synthesis of Compound 5′

The mixture of compound 5A (40 mg, 0.09 mmol, 1.0 eq) in dioxane (0.7 mL) and 3N NaOH (0.7 mL) was stirred at rt for 2 hours, LCMS indicating the disappearance of starting material. The reaction mixture was cooled to 0° C. and TES (80 mg), TFA (1.5 mL) and i-BuB(OH)₂ (30 mg) were added in sequence. The resulting yellow clear solution was stirred at rt for 2 hours before it was concentrated to dryness. The residue was dissolved in water/MeCN and purified by prep-HPLC (C18, acetonitrile and water as mobile phases, 0.1% HCOOH). The obtained solid (10 mg) was dissolved in MeCN/water and adjusted to pH=9.5 with 1N NaOH. After lyophilization, Compound 5′ as a sodium salt (11 mg) was obtained as a yellow solid. ¹H NMR (D₂O, 300 MHz): δ6.86 (d, J=8.4 Hz, 1H), 6.26 (d, J=8.4 Hz, 1H), 3.55 (s, 3H), 2.37 (t, J=10.8 Hz, 1H), 1.05-0.92 (m, 1H). ESI-MS: [M−H₂O+H]⁺: 253.

Example 6 Disodium Salt of (7R,10R)-6-hydroxy-3-methoxy-6a,7,10,10a-tetrahydro-6H-7,10-methanodibenzo[c,e][1,2]oxaborinine-4-carboxylic acid (Compound 6′)

Step 1: Synthesis of Compound 6A

To a mixture of Pd(OAc)₂ (273 mg, 1.22 mmol, 0.1 eq) in THF (20 mL) was added PPh₃ (640 mg, 2.44 mmol, 0.2 eq) and K₃PO₄.3H₂O (8.1 g, 30.5 mmol, 2.5 eq) in a sealed tube. The reaction mixture was stirred at rt for 30 minutes under nitrogen atmosphere before compound 1C (3.5 g, 12.2 mmol, 1.0 eq), norbornadiene (2.25 g, 24.4 mmol, 2.0 eq) and bis(pinacolato)diboron (4.65 g, 18.3 mmol, 1.5 eq) were added. The mixture was then stirred at 100° C. for 16 hours before it was filtered and concentrated. The residue was purified by flash chromatography on silica (PE/EA=20:1-8:1) to give compound 6A (800 mg, 17%) as a white solid. ESI-MS: [M+H]⁺: 427.

Step 2: Synthesis of Compound 6′

To a mixture of compound 6A (300 mg, 0.7 mmol, 1.0 eq) in dioxane (4 mL) and concentrated HCl (2 mL) was added i-BuB(OH)₂ (144 mg, 1.4 mmol, 2.0 eq). The mixture was stirred at rt for 1 hour before it was evaporated to dryness. The residue was dissolved in H₂O/CH₃CN (4 mL/4 mL) and was adjusted to pH=12 with 2N NaOH. The reaction was monitored by LCMS until all dimer was transferred to monomer. The mixture was purified by prep-HPLC (C18, acetonitrile and water as mobile phases, neutral condition) to give Compound 6′ (13 mg, 6%) as a white solid. ESI-MS: [M+H]⁺: 287. ¹H NMR (400 MHz, CD₃OD): δ 6.95 (d, J=8.0 Hz, 1H), 6.37 (d, J=8.0 Hz, 1H), 3.82-3.74 (m, 2H), 3.67 (s, 3H), 2.62 (s, 1H), 2.20 (t, J=7.2 Hz, 2H), 1.47-1.43 (m, 1H), 1.36-1.24 (m, 1H), 0.91-0.89 (m, 1H).

Example 7 Disodium Salt of (7R,10S)-6-hydroxy-3-methoxy-6a,7,8,9,10,10a-hexahydro-6H-7,10-methanodibenzo[c,e][1,2]oxaborinine-4-carboxylic acid (Compound 7′)

Step 1: Synthesis of Compound 7A

The mixture of compound 6A (300 mg, 0.7 mmol, 1.0 eq) and Pd/C (30 mg, 10% on carbon) in THF (10 mL) was stirred under hydrogen atmosphere (1 atm) at rt for 16 hours until LC-MS indicated the disappearance of starting material. The mixture was filtered and evaporated to dryness to give compound 7A (560 mg, 54%) as a white solid. ESI-MS: [M+H]⁺: 429.

Step 2: Synthesis of Compound 7′

To a mixture of compound 7A (300 mg, 0.7 mmol, 1.0 eq) in dioxane (4 mL) and concentrated HCl (2 mL) was added i-BuB(OH)₂ (143 mg, 1.4 mmol, 2.0 eq). The mixture was stirred at rt for 1 hour before it was evaporated to dryness. The residue was dissolved in H₂O/CH₃CN (4 mL/4 mL) and was adjusted to pH=12 with 2N NaOH. The reaction was monitored by LCMS until all dimer was transferred to monomer. The mixture was purified by prep-HPLC (C18, acetonitrile and water as mobile phases, neutral condition) to give Compound 7′ (32 mg, 15%) as a white solid. ESI-MS: [M+H]⁺: 289. ¹H NMR (400 MHz, CD₃OD): δ 6.80 (d, J=8.4 Hz, 1H), 6.27 (dd, J=2, 8.4 Hz, 1H), 3.71 (s, 3H), 2.71 (d, J=9.6 Hz, 1H), 2.12 (s, 1H), 1.95 (s, 1H), 1.41-1.38 (m, 2H), 1.34-1.31 (m, 1H), 1.30-1.26 (m, 2H), 0.76 (d, J=9.6 Hz, 1H), 0.68 (d, J=10.0 Hz, 1H).

Example 8 3-Fluoro-2-hydroxy-7-methoxy-1,2-benzoxaborinine-8-carboxylic acid (Compound 8)

Step 1: Synthesis of 8A

A heterogeneous mixture of aryl bromide 1C (20 g, 70 mmol), vinyl trifluoroborate (11.2 g, 84 mmol, 1.2 eq) and Pd(dppf)Cl₂ (204 mg, 0.4 mol %) in 7/3 1-propano/water (100 mL) was degassed with argon at rt. Et₃N (14.6 mL, 104 mmol, 1.5 eq) was added and the reaction mixture was heated at 100° C. The orange heterogeneous reaction mixture turned light amber slightly turbid upon reaching 70° C. The orange/amber reaction mixture was cooled to 50° C. Water (60 mL) and. EA (60 mL) were added. The biphasic orange reaction mixture was cooled to rt and filtered over Celite 545 (2 g). The flask and pad were rinsed with ethyl acetate (2×10 mL). The filtrate was partitioned. The organic layer was washed with water (60 mL), then concentrated to dryness. The orange solid was taken up in 3/7 1-propanol/water (80 mL) and heated at 90° C. A biphasic solution was obtained. Propanol (6 mL) was added to get a homogeneous solution. Upon cooling, at 60° C., a biphasic mixture was obtained. Seeds were added and the mixture was allowed to cool to 50° C.; a heterogeneous mixture was obtained. After stirring for 1 h at 50° C. The slurry was allowed to cool to rt then stirred at 0° C. After stirring at 0° C. for 2 h, the solids were collected by filtration. The filtrate was recirculated to rinse the flask and the cake was rinsed with cold 7/3 propanol/water (2×20 mL), air dried then dried under high vacuum to give 8A as a grey solid (12.30 g, 75.4% yield).

Step 2: Synthesis of 8B

To a solution of compound 8A in DCM was bubbled with O₃ at −78° C. until the solution turned to slightly blue. The nitrogen was bubbled in to remove the color. The colorless solution was added dimethylsulfide (3 mL) and slowly warmed up to rt in 6 hours. The solvent was removed under reduced pressure and the residue was purified by column chromatography to give compound 8B.

Step 3: Synthesis of Compound 8C

To the solution of triphenylphosphine (1.33 g, 5.06 mmol, 1.3 eq) in THF (50 mL) was added fluorotribromomethane (1.37 g, 5.06 mmol, 1.3 eq) at rt. After 5 minutes, compound 8B (920 mg, 3.9 mmol, 1.0 eq) was added. To the resulting clear solution was slowly added diethylzinc solution (5.0 mL, 1.0 M in hexanes, 5 mmol, 1.3 eq) dropwise in 10 minutes. The reaction mixture was stirred at rt for 20 hours before it was quenched with methanol (10 mL). The resulting reaction mixture was diluted with EtOAc and washed with water. After dried over Na₂SO₄, the organic layer was concentrated and purified by column chromatography (hexanes/EtOAc=3/1 to 1/1) to give compound 8C (800 mg, 62%) as slightly yellow oil. ¹H NMR (CDCl₃, 300 MHz): δ7.83 (t, 1H), 6.65-6.58 (m, 1H+1H from isomer 1), 6.15 (d, 1H from isomer 2), 3.95 (s, 3H).

Step 4: Synthesis of Compound 8E

To the solution of compound 8C (800 mg, 2.4 mmol, 1 eq) and compound 8D (0.59 mL, 2.9 mmol, 1.2 eq) in THF (20 mL) was added n-butyllithium solution (1.06 mL, 2.5 M in hexane, 2.7 mmol, 1.1 eq) dropwise over 5 minutes at −78° C. under nitrogen atmosphere. The resulting solution was slowly warmed up to rt in 3 hours before it was quenched with saturated aqueous ammonium chloride solution. The mixture was extracted with EtOAc (2×10 mL). The combined organic layer was dried over Na₂SO₄ and then concentrated to dryness. The residue was briefly purified by column chromatography (dichloromethane/EtOAc=5/1 to 1/1) to give a mixture of two isomers of compound 8E (520 mg, 57%) as yellow solid. ESI-MS: [M+H]⁺: 379.

Step 5: Synthesis of Compound 8

The mixture of compound 8E (460 mg, 1.2 mmol, 1.0 eq) in dioxane (6.0 mL) and 3N NaOH (6.0 mL) was stirred at rt for 3 hours, LCMS indicating the disappearance of starting material. The mixture was adjusted to pH=3 with 1N HCl and was added MeCN to make a clear solution. The solution was purified by prep-HPLC (C18, acetonitrile and water as mobile phases, 0.1% HCOOH) to give Compound 8 free acid (28 mg) as off-white solid. ¹H NMR (D₂O+CD₃CN, 300 MHz): δ7.70 (d, J=8.7 Hz, 1H), 7.57 (d, J=20.1 Hz, 1H), 7.17 (d, J=9.0 Hz, 1H), 4.10 (s, 3H). 19F NMR (D₂O+CD₃CN, 300 MHz): δ −135.47 (d). ESI-MS: [M−H₂O+H]⁺: 221.

Example 9 2-Hydroxy-7-methoxy-1,2-benzoxaborinine-8-carboxylic acid (Compound 9)

Step 1: Synthesis of Compound 9A

The mixture of compound 1F (62 mg, 0.2 mmol, 1.0 eq), bis(pinacolato)diboron (76 mg, 0.3 mmol, 1.5 eq), PdCl₂(dppf) (16 mg, 0.02 mmol, 0.1 eq) and KOAc (40 mg, 0.4 mmol, 2.0 eq) in dioxane (2 mL) was stirred at 65° C. for 2 hours under nitrogen atmosphere. The reaction mixture was diluted with EtOAc and washed with 0.1N HCl and water. After drying over Na₂SO₄, the organic layer was concentrated and purified by column chromatography (hexanes/EtOAc=3/1 to 1/1) to give compound 9A (29 mg, 40%) as a yellow solid. ESI-MS: [M+H]⁺: 361.

Step 2: Synthesis of Compound 9

The mixture of compound 9A (29 mg, 0.08 mmol, 1.0 eq) in dioxane (0.5 mL) and 3N NaOH (0.5 mL) was stirred at rt for 2 hours, LCMS indicating the disappearance of starting material. The reaction mixture was adjusted to pH=3 and was dissolved in water/MeCN. The solution was purified by prep-HPLC (C18, acetonitrile and water as mobile phases, 0.1% HCOOH) to give Compound 9 free acid (3.6 mg) as a light yellow solid. ¹H NMR (CD₃OD, 300 MHz): δ7.74 (d, J=11.7 Hz, 1H), 7.47 (d, J=9.0 Hz, 1H), 6.92 (d, J=8.4 Hz, 1H), 6.02 (d, J=11.7 Hz, 1H), 3.90 (s, 3H). ESI-MS: [M−H₂O+H]⁺: 203.

Example 10 2-Hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylic acid (Compound 10)

Step 1: Synthesis of 10B

A mixture of compound 10A (20 g, 116 mmol, 1.0 eq) and DMAP (4.2 g, 34 mmol, 0.3 eq) in DCM (200 mL) was added Boc₂O (37.8 g, 173 mmol, 1.5 eq) and stirred at rt for 1 hour. The reaction was monitored by TLC. The mixture was concentrated under reduced pressure and the residue was purified by flash chromatography on silica (PE/EA=50:1 to 20:1) to give compound 10B (31 g, 98%) as light yellow oil.

Step 2: Synthesis of 10C

To the solution of compound 10B (34 g, 125 mmol, 1.0 eq) in THF (350 mL) was added LDA (75 mL, 150 mmol, 1.2 eq) dropwise at −78° C. The resulting solution was slowly warmed up to rt and stirred for 16 hours. The reaction was monitored by TLC. The mixture was concentrated under reduced pressure and the residue was purified by flash chromatography on silica (PE/EA=50:1 to 20:1) to give compound 10C (21.8 g, 64%) as light yellow oil.

Step 3: Synthesis of 10D

To the solution of compound 10C (21.8 g, 79.8 mmol, 1.0 eq) in DCM (110 mL) was added TFA (110 mL) at rt. After 16 hours at this temperature, the mixture was concentrated under reduced pressure and the residue was purified by flash chromatography on silica (PE/EA=50:1 to 10:1) to give compound 10D (13.9 g, 80%) as a white solid.

Step 4: Synthesis of 10E

To the solution of compound 10D (14.7 g, 68 mmol, 1.0 eq) in TFA (95 mL) was added DMF (65 mL) at 0° C., followed by slow addition of acetone (50.6 mL) and TFAA (65 mL) at the same time. After 16 hours at 100° C. under nitrogen atmosphere, the mixture was concentrated under reduced pressure and the residue was purified by flash chromatography on silica (PE/EA=50:1 to 10:1) to give compound 10E (7.7 g, 44%) as a yellow solid.

Step 5: Synthesis of 10F

The mixture of compound 10E (7.54 g, 29.7 mmol, 1.0 eq), accrylic acid (3.18 g, 44.2 mmol, 1.5 eq), Pd(OAc)₂ (662 mg, 2.95 mmol, 0.1 eq), P(o-toly)₃ (1.81 g, 5.9 mmol, 0.2 eq) and TEA (8.9 g, 88.4 mmol, 3.0 eq) in DMF (150 mL) was flushed with N₂ (3×) and then stirred at 100° C. for 16 hours. The mixture was concentrated under reduced pressure and the resulting solid was washed with 20% EA in hexanes to give crude compound 10F (4.4 g, 60%) as a brown solid which was directly used in the next step without further purification.

Step 6: Synthesis of 10G

To the mixture of compound 10F (4.4 g, 17.7 mmol, 1.0 eq) in CHCl₃ (200 mL) was added Br₂ (3.4 g, 21.3 mmol, 1.2 eq) over 10 min at 0° C. and stirred at this temperature for 2 hour before it was concentrated to dryness. The resulting crude compound 10G (7.2 g, 99%) was a brown solid which was directly used into the next step.

Step 7: Synthesis of 10H

To the solution of compound 10G (7.2 g, 17.7 mmol, 1.0 eq) in DMF (100 mL) was added TEA (3.59 g, 35.5 mmol, 2.0 eq) dropwise at 0° C. and stirred at rt for 16 hours before it was evaporated to dryness. The residue was purified by flash chromatography on silica (PE/EA=100:1 to 5:1) to give compound 1011 (3.0 g, 60%) as a light yellow solid.

Step 8: Synthesis of 10I

The mixture of compound 1011 (800 mg, 2.8 mmol, 1.0 eq), bis[(+)-pinanediolato]diboron (1.5 g, 4.3 mmol, 1.5 eq), PdCl₂(dppf) (230 mg, 0.28 mmol, 0.1 eq) and KOAc (560 mg, 5.67 mmol, 2.0 eq) in dioxane (15 mL) was flushed with N₂ (3×) and heated at 65° C. for 3 hours. The reaction was monitored by LCMS. The reaction mixture was filtered and evaporated to dryness. The residue was purified by flash chromatography on silica (PE/EA=100:1 to 5:1) to give compound 101 (240 mg, 22%) as light yellow oil. ESI-MS: [M+H]+: 383.

Step 9: Synthesis of 10J

To the mixture of compound 101 (200 mg, 0.52 mmol, 1.0 eq) and Pd(OAc)₂ (5.9 mg, 0.026 mmol, 0.05 eq) in THF (5 mL) was added CH₂N₂ (freshly made, in 15 mL Et₂O, about 6 mmol) slowly over 1 hour at −15° C. The mixture was slowly warmed up to rt and stirred for 16 hours. The mixture was filtered and evaporated to dryness to give compound 10J (200 mg, 96%) as light yellow oil. ESI-MS: [M+H]+: 397.

Step 10: Synthesis of 10

To the solution of compound 10J (200 mg, 0.5 mmol, 1.0 eq) in ACN (5 mL) and water (1 mL) was added 3N NaOH (1.5 mL) at rt. After 3 hours at 30° C., the resulting mixture was added TES (2 mL), TFA (6 mL) and i-BuB(OH)₂ (77 mg, 0.76 mmol, 1.5 eq) and stirred at rt for one hour. The reaction was monitored by LC-MS. The mixture was concentrated in vacuo and purified by prep-HPLC (C18) to give 10 (20 mg, 19%) as white solid. ¹H NMR (400 MHz, CD₃OD): δ 7.62 (dd, J=1.2, 1.6 Hz, 1H), 7.38 (d, J=8.0 Hz, 1H), 6.89 (t, J=8.0 Hz, 1H), 2.33-2.27 (m, 1H), 1.23-1.17 (m, 1H), 0.68-0.54 (m, 2H). ESI-MS: [M+MeCN+H]⁺: 246.

Example 11 Disodium salt of 2-hydroxy-7-methoxy-spiro[3H-1,2-benzoxaborinine-4,1′-cyclopropane]-8-carboxylic acid (Compound 11′)

Step 1: Synthesis of 11A

A mixture of compound 1C (10.0 g, 34.8 mmol, 1.0 eq), bis[(+)-pinanediolato]diboron (18.7 g, 52.2 mmol, 1.5 eq), PdCl₂(dppf) (1.42 g, 1.74 mmol, 0.05 eq) and KOAc (10.2 g, 105 mmol, 3.0 eq) in dioxane (80 mL) was stirred at 85° C. for 16 h under nitrogen atmosphere. The reaction was monitored by TLC. The mixture was cooled down, filtered and concentrated under reduced pressure. The residue was purified by flash chromatography on silica (PE/EA=100:0 to 5:1) to give compound 11A (8.07 g, 60%) as a slightly yellow solid. ESI-MS: [M+H]⁺: 387.

Step 2: Synthesis of 11B

To the solution of compound 1,1-dibromocyclopropane (4.4 g, 22.1 mmol, 2.1 eq) in THF (15 mL) was added n-BuLi (6.2 mL, 15.5 mmol, 1.5 eq) slowly over 30 min at −110° C. and stirred for one hour at this temperature. Then compound 11A (4 g, 10.36 mmol, 1.0 eq) in THF (25 mL) was added to the reaction mixture over 20 min. After 2 hours at −110° C., the reaction mixture was slowly warmed up to rt and stirred for 16 hours. The mixture was quenched with saturated aqueous NH₄Cl (4 mL) and was extracted with EA (3×20 mL). The combined organic layer was dried over Na₂SO₄ before it was concentrated under reduced pressure. The residue was purified by flash chromatography on silica (PE/EA=100:0 to 10:1) to give compound 11B (2.0 g, 45%) as a slightly yellow solid. ESI-MS: [M+H]⁺: 427.

Step 3: Synthesis of 11C

To the solution of compound 11B (1 g, 2.3 mmol, 1.0 eq) and CH₂ICl (2.07 g, 11.8 mmol, 5.1 eq) in THF (50 mL) was added n-BuLi (1.8 mL, 4.6 mmol, 2.0 eq) at −78° C. After 2 hours at −78° C., the reaction mixture was slowly warmed up to rt and stirred for 16 hours. The mixture was quenched with saturated aqueous NH₄Cl (4 mL) and was extracted with EA (3×20 mL). The combined organic layer was dried over Na₂SO₄ before it was concentrated under reduced pressure. The residue was purified by flash chromatography on silica (PE/EA=100:0 to 10:1) to give compound 11C (380 mg, 37%) as a white solid. ESI-MS: [M+H]⁺: 441.

Step 4: Synthesis of Compound 11′

To the solution of compound 11C (190 mg, 0.432 mmol, 1.0 eq) in ACN (3 mL) was added 3N NaOH (3 mL) at rt. After two hours, the resulting mixture was added TES (2 mL), TFA (5 mL) and i-BuB(OH)₂ (88 mg, 0.86 mmol, 2.0 eq) and stirred at rt for 30 minutes. The reaction was monitored by LC-MS. The mixture was concentrated in vacuo, re-dissolved in MeCN/water and was adjusted to pH=12 with 3N NaOH. The resulting solution was purified by prep-HPLC (C18, neutral) to give disodium salt Compound 11′ (40 mg, 37%) as a white solid. ¹H NMR (400 MHz, CD₃OD): δ 6.45 (d, J=8.8 Hz, 1H), 6.19 (d, J=8.4 Hz, 1H), 3.69 (s, 3H), 0.68 (t, 2H), 0.56 (t, 2H), 0.45 (s, 2H). ESI-MS: [M+H]⁺: 249.

Example 12 Disodium salt of (1aS,7bR)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylic acid (Compound 12′)

Step 1: Synthesis of 12A and 12B

To a solution of compound 4D (2.0 g, 5.0 mmol, 1.0 eq) and Pd(OAc)₂ (56 mg, 0.25 mmol, 0.05 eq) in THF (30 mL) was slowly added diazomethane (200 mL, freshly made, about 0.2 M in ether, 10 eq) at −20° C. in 2 hours. The solution was slowly warmed up to rt and stirred for 12 hours before it was concentrated to dryness. The obtained residue was purified by column chromatography (hexanes/EtOAc=3/1 to 1/1) to give a mixture of compound 12A and 12B (1.96 g, 99%) as yellow oil. The two isomers were further purified by prep-HPLC (C18, acetonitrile and water as mobile phases, 0.1% HCOOH) to give 12A (650 mg, 31%) and 12B (750 mg, 36%) as white solid.

¹H NMR (CDCl₃, 400 MHz) for 12A: δ 7.37-7.33 (m, 1H), 6.73 (t, J=9.2 Hz, 1H), 4.02 (dd, J=1.6, 1.6 Hz, 1H), 2.27-2.24 (m, 1H), 2.15-2.08 (m, 1H), 2.05-2.00 (m, 1H), 1.87 (t, J=5.2 Hz, 1H), 1.76 (s, 3H), 1.74 (s, 3H), 1.29-1.21 (m, 2H), 1.19 (s, 3H), 1.17-1.13 (m, 1H), 1.07 (s, 3H), 0.69 (s, 3H), 0.56-0.53 (m, 1H), 0.52-0.49 (m, 1H). ESI-MS: [M+H]⁺: 415.

¹H NMR (CDCl₃, 400 MHz) for 12B: δ 7.32-7.25 (m, 1H), 6.72 (t, J=9.2 Hz, 1H), 4.00 (dd, J=1.6, 1.6 Hz, 1H), 2.28-2.24 (m, 1H), 2.17-2.14 (m, 1H), 1.86-1.81 (m, 2H), 1.75 (s, 8H), 1.62 (d, J=1.2 Hz, 1H), 1.21-1.19 (m, 1H), 1.18 (s, 3H), 1.17 (s, 3H), 1.16-1.13 (m, 1H), 0.72 (s, 3H), 0.53-0.47 (m, 2H). ESI-MS: [M+H]⁺: 415.

Step 2: Synthesis of 12′

The mixture of compound 12A (650 mg, 1.6 mmol, 1.0 eq) in dioxane (4 mL) and 3N NaOH (1.05 mL, 2 eq) was stirred at rt for 0.5 hour, LC-MS indicating the disappearance of starting material. The reaction mixture was cooled to 0° C. and TES (1 mL), TFA (5 mL) and i-BuB(OH)₂ (320 mg, 3.14 mmol, 2 eq) were added in sequence. The resulting yellow clear solution was stirred at rt for 0.5 hours before it was concentrated to dryness. The residue was dissolved in water/MeCN and purified by prep-HPLC (C18, acetonitrile and water as mobile phases, 0.1% TFA) to give Compound 12 free acid (132 mg) as a white solid after lyophilizatio. It was dissolved in MeCN/water and adjusted to pH=9.5 with 1 N NaOH (1.02 mL). After lyophilization, the crude sodium salt was dissolved in 2.0 mL water and was slowly added acetone (50 mL). The resulting suspension was stirred at rt for 3 hours. The mixture was filtered and the solid was washed with acetone twice to give disodium salt Compound 12′ (146 mg) as an off-white solid. ¹H NMR (D₂O, 300 MHz): δ6.87 (t, J=7.2 Hz, 1H), 6.25 (d, J=8.4 Hz, 1H), 1.65-1.56 (m, 1H), 0.67-0.57 (m, 1H), 0.14 (m, 2H). ¹⁹F NMR (D₂O, 300 MHz): δ −124.9. ESI-MS: [M−H₂O+H]⁺: 205.

Example 13 Disodium salt of (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylic acid (Compound 13′)

The mixture of compound 12B (750 mg, 1.8 mmol, 1.0 eq) in dioxane (4 mL) and 3 N NaOH (1.2 mL, 2 eq) was stirred at rt for 0.5 hour, LCMS indicated the disappearance of starting material. The reaction mixture was cooled to 0° C., TES (1 mL), TFA (5 mL) and i-BuB(OH)₂ (369 mg, 3.6 mmol, 2 eq) were added in sequence. The resulting yellow clear solution was stirred at rt for 0.5 hour before it was concentrated to dryness. The residue was dissolved in water/MeCN and purified by prep-HPLC (C18, acetonitrile and water as mobile phases, 0.1% TFA) to give Compound 13 free acid (160 mg) as a white solid after lyophilization. It was dissolved in MeCN/water and adjusted to pH=9.5 with 1 N NaOH (1.38 mL). After lyophilization, the crude sodium salt was dissolved in 2.0 mL water and was slowly added acetone (50 mL). The resulting suspension was stirred at rt for 3 hours. The mixture was filtered and the solid was washed with acetone twice to give the disodium salt Compound 13′ (145 mg) as an off-white solid. ¹H NMR (D₂O, 300 MHz): δ6.87 (t, J=7.2 Hz, 1H), 6.25 (d, J=8.4 Hz, 1H), 1.65-1.56 (m, 1H), 0.67-0.57 (m, 1H), 0.14 (m, 2H). ¹⁹F NMR (D₂O, 300 MHz): δ −124.9. ESI-MS: [M−H₂O+H]⁺: 205.

Alternatively, Compound 13′ can be synthesized utilizing enantioselective cyclopropanation method as shown in the following scheme:

Step 1: Synthesis of 13A

Intermediate 13A was prepared from 4D using method described in step 1 of Example 9.

Step 2: Synthesis of 13B

To the solution of compound 13A (23.5 g, 67.5 mmol, 1.0 eq) in acetone (675 mL) and water (41 mL) was added ammonium acetate aqueous solution (304 mL, 1M in water, 4.5 eq), followed by sodium periodate (43.4 g, 203 mmol, 3.0 eq) at 0° C. The resulting reaction mixture was heated up to 40° C. and stirred at this temperature until NMR and LCMS showed to disappearance of 13A (normally takes 24 hours). The reaction mixture was filtered with celite and washed with acetone. The filtrate was concentrated to about 250 mL and was extracted with dichloromethane (300 mL) and ethyl acetate (300 mL). The combined organic layers were dried over Na₂SO₄ before it was concentrated under reduced pressure. The crude compound 13B (12.0 g) was obtained as yellow solid, which was used directly for next step without purification. ESI-MS: [M+H]⁺: 267.

Step 3: Synthesis of 13D

To a solution of crude compound 13B (12.0 g, 45 mmol, 1.0 eq) in dichloromethane (150 mL) was added 13C (11.0 g, 54 mmol, 1.2 eq) and MgSO₄ (12 g). The mixture was stirred at rt for 12 hours before it was filtered under nitrogen atmosphere. The filtrate was added more 13C (4.6 g, 23 mmol, 0.5 eq). The resulting solution of 13D was used directly for next step without further purification. ESI-MS: [M-S4+H]⁺: 267.

Step 4: Synthesis of 13E

The solution of diethylzinc (360 mL, 1.0 M solution in hexanes, 8.0 eq) was added into dichloromethane (600 mL) at −78° C., followed by diiodomethane (44 mL, 12 eq) dropwise. The resulting white mixture was stirred at −78° C. for 30 minutes before the solution of 13D (45 mmol, dichloromethane solution from previous step, pre-cooled to −78° C.) was added via cannula under nitrogen atmosphere. The resulting reaction mixture was stirred at −78° C. for 3 hours and slowly warmed up to rt over a period of 4 hours. The reaction was quenched with saturated aqueous ammonium chloride (1 L) and extracted with dichloromethane (500 mL) and ethyl acetate (500 mL). After dried over Na₂SO₄, the organic layer was concentrated to give crude compound 13E as yellow solid, which was used directly for next step without purification. ESI-MS: [M−S4+H]⁺: 281.

Step 5: Synthesis of 12B

To a solution of crude compound 13E (45 mmol, 1.0 eq) in THF (150 mL) was added (+)-pinanediol (23.0 g, 135 mmol, 3.0 eq) and MgSO₄ (20 g). The resulting reaction mixture was stirred at rt for 12 hours before it was filtered and concentrated to dryness. The obtained residue was purified by column chromatography (hexanes/EtOAc=5/1 to 3/1) to give compound 12B (12.1 g, ˜90% purity and ˜93% de) as yellow solid. The product was further purified by re-crystallization in 10% ethyl acetate in hexanes to give 6.8 g pure 12B (>99% purity and >99% de). ¹H NMR(CDCl₃, 400 MHz) for 12B: δ 7.32-7.25 (m, 1H), 6.72 (t, J=9.2 Hz, 1H), 4.00 (dd, J=1.6, 1.6 Hz, 1H), 2.28-2.24 (m, 1H), 2.17-2.14 (m, 1H), 1.86-1.81 (m, 2H), 1.75 (s, 8H), 1.62 (d, J=1.2 Hz, 1H), 1.21-1.19 (m, 1H), 1.18 (s, 3H), 1.17 (s, 3H), 1.16-1.13 (m, 1H), 0.72 (s, 3H), 0.53-0.47 (m, 2H).

Step 6: Synthesis of Compound 13′

The mixture of compound 12B (830 mg, 2 mmol, 1.0 eq) in dioxane (8 mL) and 3N NaOH (4 mL, 6 eq) was stirred at rt for 3 hours, LC-MS indicating the disappearance of starting material. The reaction mixture was adjusted to pH=2 with 6 N HCl and i-BuB(OH)₂ (815 mg, 8 mmol, 4 eq) were added in sequence. The resulting mixture was stirred at rt for 3 hours and then was directly purified by prep-HPLC (C18, acetonitrile and water as mobile phases, 0.1% HCOOH) to give compound 13 free acid (310 mg) as white solid after lyophilization. It was dissolved in MeCN/water and adjusted to pH=9.5 with 1 N NaOH. After lyophilization, the crude sodium salt was dissolved in 0.5 mL water and acetone (25 mL) was slowly added. The resulting suspension was stirred at rt for 3 hours. The mixture was filtered and the solid was washed with acetone twice to give 13′ (146 mg) as an off-white solid. ¹H NMR (D₂O, 300 MHz): δ6.87 (t, J=7.2 Hz, 1H), 6.25 (d, J=8.4 Hz, 1H), 1.65-1.56 (m, 1H), 0.67-0.57 (m, 1H), 0.14 (m, 2H). ¹⁹F NMR (D₂O, 300 MHz): δ −124.9. ESI-MS: [M−H2O+H]⁺: 205.

Example 14 Disodium salt of 4,4-dihydroxyspiro[5-oxa-4-boranuidabicyclo[4.4.0]deca-1(6),7,9-triene-2,1′-cyclopropane]-7-carboxylic acid (Compound 14′)

Step 1: Synthesis of 14A

To a solution of compound 10E (10 g, 35.46 mmol, 1.0 eq), bis[(4)-pinanediolato]diboron (15.2 g, 42.55 mmol, 1.2 eq) and PdCl₂(dppf) (2.9 g, 3.546 mmol, 0.1 eq) in dioxane (250 mL) was added KOAc (7.0 g, 71 mmol, 2.0 eq). The mixture was stirred at 65° C. for 3 h under nitrogen atmosphere. Then the mixture was filtered and the filtrate was concentrated in vacuum. The residue was purified by column chromatography on silica gel (PE/EA, 100:110:1) to give compound 14A (2.9 g, 21%).

Step 2: Synthesis of 14C

A solution of compound 14B (2.8 g, 14.04 mmol, 2.0 eq) in THF (25 mL) was cooled to −110° C., then n-BuLi (4.2 mL, 10.53 mmol, 1.5 eq) was added in slowly and stirred at −110° C. for 30 min. Then a solution of compound 14A (2.5 g, 7.02 mmol, 1.0 eq) in THF (25 mL) was added in. The mixture was stirred at rt for 30 min under nitrogen atmosphere. After the reaction was complete, the mixture was poured into aq. NH₄Cl, and extracted with ethyl acetate. The organic layer was washed with brine, dried over Na₂SO₄, concentrated, and purified by column chromatography on silica gel (PE/EA, 5:1˜10:1) to give compound 14C (880 mg, 35%).

Step 3: Synthesis of 14D

To a solution of compound 14C (880 mg, 2.22 mmol, 1.0 eq) in THF (15 mL) were added CH₂ICl (2.0 g, 11.11 mmol, 5.0 eq), cooled to −78° C. To the solution n-BuLi (2.7 mL, 6.66 mmol, 3.0 eq) was added in slowly and stirred at −78° C. for 30 min. The mixture was stirred at rt for 12 h under nitrogen atmosphere. After the reaction was complete, the mixture was poured into aq. NH₄Cl, extracted with DCM. The organic layer was washed with brine, dried over Na₂SO₄, concentrated, purified by column chromatography on silica gel (PE/EA, 5:110:1) to give compound 14D (110 mg, 25%).

Step 4: Synthesis of Compound 14′

To a mixture of compound 14D (100 mg, 0.24 mmol, 1.0 eq) in H₂O/CH₃CN (0.5 mL/3 mL) was added 2 N NaOH (0.24 mL, 0.48 mmol, 2.0 eq). The solution was stirred at rt for 1 h. To the mixture was added TFA/TES (4 mL/1 mL) and i-BuB(OH)₂ (48.9 mg, 0.48 mmol, 2.0 eq). The mixture was stirred at 30° C. for 30 min. Adjusting the solution with 1 N NaOH to pH˜10. The residue was purified by prep-HPLC to give compound 14′ (4 mg, 15%). LC-MS: 260[M+ACN+H]⁺. ¹H NMR (400 MHz, CD₃OD) δ 7.63 (d, J=7.6 Hz, 1H), 6.85 (d, J=7.6 Hz, 1H), 6.41-6.24 (m, 1H), 0.85-0.76 (m, 2H), 0.69-0.64 (m, 2H), 0.56-0.51 (m, 2H).

Example 15 Disodium salt of 8-fluoro-4,4-dihydroxy-spiro[5-oxa-4-boranuidabicyclo[4.4.0]deca-1(6),7,9-triene-2,1′-cyclopropane]-7-carboxylic acid (Compound 15′)

Step 1: Synthesis of Compound 15A

A mixture of compound 4A (7.0 g, 25.44 mmol, 1.0 eq), bis[(+)-pinanediolato]diboron (10.9 g, 30.52 mmol, 1.2 eq) and PdCl₂(dppf) (2.08 g, 2.544 mmol, 0.1 eq) and KOAc (5.0 g, 50.88 mmol, 2.0 eq) in dioxane (200 mL) stirred at 65° C. for 3 h under nitrogen atmosphere. The mixture was filtered and the filtrate was concentrated in vacuum. The residue was purified by column chromatography on silica gel (PE/EA, 100:110:1) to give compound 15A (3.0 g, 31%).

Step 2: Synthesis of Compound 15B

To a solution of compound 15A (3.19 g, 16.02 mmol, 2.0 eq) in THF (25 mL) at −110° C. was added n-BuLi (2.5 M, 4.8 mL, 12.01 mmol, 1.5 eq) was added in slowly and stirred at −110° C. for 30 min. Then a solution of compound 14B (3.0 g, 8.01 mmol, 1.0 eq) in THF (25 mL) was added in. The mixture was stirred at rt for 30 min under nitrogen atmosphere. After the reaction was complete, the mixture was poured into aq. NH₄Cl, and extracted with ethyl acetate. The organic layer was washed with brine, dried over Na₂SO₄, concentrated to give compound 15B (1.0 g, 30%).

Step 3: Synthesis of Compound 15C

To a solution of compound 15B (800 mg, 1.93 mmol, 1.0 eq) and CH₂ICl (1.73 g, 9.65 mmol, 5.0 eq) in THF (15 mL) at −78° C. was added n-BuLi (2.3 mL, 5.79 mmol, 3.0 eq) slowly, and stirred at −78° C. for 30 min. The mixture was stirred under nitrogen atmosphere at rt for 12 h. The mixture was poured into aq. NH₄Cl, and extracted with DCM. The organic layer was washed with brine, dried over Na₂SO₄, concentrated to give compound 15C (100 mg, 12%).

Step 4: Synthesis of Compound 15′

To a mixture of compound 15C (100 mg, 0.23 mmol, 1.0 eq) in H₂O/CH₃CN (0.5 mL/3 mL) was added 2 N NaOH (0.23 mL, 0.46 mmol, 2.0 eq) and stirred at rt for 1 h. Then the mixture was added TFA/TES (4 mL/1 mL) and i-BuB(OH)₂ (46.8 mg, 0.46 mmol, 2.0 eq). The mixture was stirred at 30° C. for 30 min. T the mixture was added 1 N NaOH to adjust the mixture to pH 10, and concentrated. The residue was purified by prep-HPLC to give compound 15′ (6 mg, 11%). LC-MS: 278 [M+ACN+H]⁺. ¹H NMR (400 MHz, CD₃OD) δ 6.75 (d, J=2.4 Hz, 1H), 6.41 (d, J=1.6 Hz, 1H), 0.75-0.79 (m, 2H), 0.64-0.69 (m, 2H), 0.61-0.55 (m, 2H).

Example 16 Disodium salt of (1aR,7b S)-2,2-dihydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylic acid (Compound 16′)

Step 1: Synthesis of Compounds 16A and 16B

To a mixture of compound 10I (2.9 g, 7.59 mmol, 1.0 eq) and Pd(OAc)₂ (85 mg, 0.37 mmol, 0.05 eq) in THF (50 mL) at −15° C. was added diazomethane (200 mL) dropwise. After the addition, the resulting mixture was stirred at rt overnight, and then filtered and the filtrate was concentrated. The residue was purified by prep-HPLC to give compound 16A (860 mg, 28%) and compound 16B (950 mg, 31%).

Step 2: Synthesis of Compound 16

To a solution of compound 16B (950 mg, 2.3 mmol, 1.0 eq) in ACN/H₂O (6 mL/6 mL) was added 0.5N NaOH to adjust to pH 12. The mixture was stirred at rt for 1 h. To the mixture was added i-BuB(OH)₂ (480 mg, 4.6 mol, 2.0 eq) and adjust to pH-2 using 3N HCl. The mixture was purified by prep-HPLC and lyophilized to give a free acid, which was dissolved in ACN/water. The solution was adjusted to pH 9 using 0.5N NaOH. To the mixture was added acetone/water (50 mL/2 mL) and stirred at rt for 3 h. The solid was filtered and washed with water, and dried to give 16′ (344 mg, 63%). LC-MS: 246 [M+ACN+H]⁺. ¹H NMR (400 MHz, CD₃OD) δ 7.23 (d, J=8 Hz, 1H), 7.06 (d, J=7.2 Hz, 1H), 6.53-6.47 (m, 1H), 1.78-1.70 (m, 1H), 0.86-0.78 (m, 1H), 0.41-0.36 (m, 1H), 0.34-0.28 (m, 1H).

Example 17 Disodium salt of 5-(2-fluoroethoxy)-2,2-dihydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylic acid (compound 17′)

Step 1: Synthesis of Compound 17B

To a mixture of compound 17A (8.0 g, 51.9 mmol, 1.0 eq), acetone (4.9 mL, 67.47 mmol, 1.3 eq), and DMAP (316 mg, 2.595 mmol, 0.05 eq) in DME (30 mL) at 0° C. was added thionyl chloride (4.85 mL, 67.47 mmol, 1.3 eq). The reaction mixture was stirred at 0° C. for 1 h and stirred at rt for 23 h under nitrogen atmosphere. Then the mixture was quenched by aq.NaHCO₃ and extracted with ethyl acetate. The organic layer was washed with brine, dried over Na₂SO₄, and concentrated in vacuum. The residue was purified by column chromatography on a silica gel (PE/EA, 30:1) to give compound 17B (7.1 g, 70%).

Step 2: Synthesis of Compound 17C

A mixture of compound 17B (3.1 g, 15.97 mmol, 1.0 eq), 2-fluoro-1-iodo-ethane (2.69 g, 15.5 mmol, 1.5 eq) and K₂CO₃ (4.27 g, 31 mmol, 2.0 eq) in DMF (10 mL) was stirred at rt for 12 h under nitrogen atmosphere. Then water was added and extracted with PE:EA=2:1. The organic layer was washed with brine, dried over Na₂SO₄, and concentrated in vacuo to give the crude compound 17C (3.9 g, 100%).

Step 3: Synthesis of Compound 17D

To a solution of compound 17C (3.9 g, 16 mmol, 1.0 eq) in CHCl₃ (20 mL) was added bromine (0.92 mL, 17.9 mmol, 1.1 eq). The reaction was stirred at 65° C. for 0.5 h. Then the reaction was concentrated. The residue was purified by silica gel column chromatography (PE/EA, 5:1) to give compound 17D (4.6 g, 89%).

Step 4: Synthesis of Compound 17E

A solution of compound 17D (4.1 g, 11.6 mmol, 1.0 eq), acrylic acid (1.68 g, 23.3 mmol, 2.0 eq), Pd(OAc)₂ (285 mg, 1.16 mmol, 0.1 eq), P(O-toly)₃ (532 mg, 1.75 mmol, 0.15 eq) and triethylamine (4.87 mL, 3.49 mmol, 3.0 eq) in DMF (30 mL) was stirred at 100° C. for 12 h under nitrogen atmosphere. After being cooled to rt, the mixture was filtered. The filtrate was washed with DCM/MeOH (10:1), adjust to pH 4-5 using 0.2 N HCl. The mixture was filtered to collect the solid, which was dried to give compound 17E (3.1 g, 77%).

Step 5: Synthesis of Compound 17F

To a solution of compound 17E (3.0 g, 9.7 mmol, 1.0 eq) in chloroform (30 mL) was added bromine (0.54 mL, 10.6 mmol, 1.1 eq), and stirred at rt for 12 h. The reaction was concentrated to give crude compound 17F (5.0 g).

Step 6: Synthesis of Compound 17G

To a solution of compound 17F (5.0 g, 9.7 mmol, 1.0 eq) in DMF (40 mL) at 0° C. was added triethylamine (2.7 mL, 19.4 mmol, 2.0 eq). The mixture was stirred at rt for 12 h. Water was added, and the mixture was extracted with PE:EA=1:1. The organic layer was washed with brine, dried over Na₂SO₄, concentrated in vacuum. The residue was purified by column chromatography on silica gel (PE/EA, 30:1-7:1) to give compound 17G (2.36 g, 64%).

Step 7: Synthesis of Compound 17H

A mixture of compound 17G (2.46 g, 7.15 mmol, 1.0 eq) in dioxane (30 mL) was degassed with N₂. Then the mixture was added bis[(+)-pinanediolato]diboron (3.0 g, 8.58 mmol, 1.2 eq), PdCl₂(dppf) (583 mg, 0.715 mmol, 1.0 eq) and potassium acetate (2.1 g, 2.14 mmol, 3.0 eq). The resulting mixture was stirred at 58° C. for 1 h, and concentrated. The residue was purified by prep-HPLC to give compound 17H (370 mg, 12%).

Step 8: Synthesis of Compound 17I

To a solution of compound 17H (370 mg, 0.833 mmol, 1.0 eq) in dry THF (2 mL) at −30° C. was added diazomethane (10 mL, 3.332 mmol, 4.0 eq) and Pd(OAc)₂ (10.2 mg, 0.042 mmol, 0.05 eq). The mixture was stirred at −30° C. for 2 h, filtered. The filtrate was concentrated in vacuo. The residue was purified by silica gel column chromatography (PE/EA, 1:1) to give compound 171 (340 mg, 89%).

Step 9: Synthesis of Compound 17′

To a solution of compound 171 (340 mg, 0.74 mmol, 1.0 eq) in ACN/H₂O (1.5 mL/1.5 mL) was added 2 N NaOH (0.74 mL, 1.48 mmol, 2.0 eq). The mixture was stirred at rt for 3 h. To the mixture was added i-BuB(OH)₂ (151 mg, 1.48 mmol, 2.0 eq) and ACN/THF (2 mL/2 mL). The solution was adjusted to pH 2-3 (3 N HCl), and stirred at rt for 1 h. The mixture was concentrated in vacuum, adjusted to pH-10 (1 N NaOH). The mixture was purified by prep-HPLC (neutral conditions) to give 17′ (94 mg, 47%). LC-MS: 267[M+H]⁺. ¹H NMR (400 MHz, CD₃OD) δ 7.06 (d, J=8.8 Hz, 1H), 6.35 (d, J=8 Hz, 1H), 4.75-4.55 (m, 2H), 4.22-4.13 (m, 2H), 1.85-1.76 (m, 1H), 0.91-0.80 (m, 1H), 0.37-0.28 (m, 2H).

Example 18 Disodium salt of (1aS,7bR)-2,2-dihydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylic acid (Compound 18′)

To a solution of compound 16A (860 mg, 2.1 mmol, 1.0 eq) in ACN/H₂O (6 mL/6 mL) was added 0.5 N NaOH to adjust to pH 12. The mixture was stirred at rt for 1 h. To the mixture was added i-BuB(OH)₂ (480 mg, 4.6 mol, 2.2 eq). Using 3.0 N HCl the solution was adjusted pH-2, purified by prep-HPLC and lyophilized to give a free acid. The acid was dissolved in ACN/water, and 0.5 N NaOH was added to the solution to adjust to pH 9. To the mixture was added acetone/H₂O (50 mL/2 mL), and stirred at rt for 3 h. The solid was collected, and dried to give compound 18′ (340 mg, 69%). LC-MS: 246 [M+ACN+H]⁺. ¹H NMR (400 MHz, CD3OD) δ 7.22 (d, J=8 Hz, 1H), 7.05 (d, J=7.2 Hz, 1H), 6.52-6.48 (m, 1H), 1.79-1.71 (m, 1H), 0.86-0.79 (m, 1H), 0.42-0.35 (m, 1H), 0.33-0.26 (m, 1H).

Example 19 Disodium salt of 5,6-difluoro-2,2-dihydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylic acid (Compound 19′)

Step 1: Synthesis of Compound 19B

To a mixture of compound 19A (20 g, 154 mmol, 1.0 eq) in THF (200 mL) was added Boc₂O (40.2 g, 185 mmol, 1.2 eq) and DMAP (940 mg, 7.69 mmol, 0.05 eq). The mixture was stirred at rt for 1 h under nitrogen atmosphere, and was concentrated in vacuum. The residue was purified by column chromatography on silica gel (PE/EA, 1:0-10:1) to give compound 19B (28 g, 79%).

Step 2: Synthesis of Compound 19C

To a mixture of compound 19B (8.4 g, 36.5 mmol, 1.0 eq) in THF (20 mL) was added LDA prepared from diisopropylamine (4.1 g, 40 mmol, 1.1 eq) and n-BuLi (2.5 M, 17.5 mL, 44 mmol, 1.2 eq). The mixture was stirred at rt for 3 h under nitrogen atmosphere, and quenched with aq. NH₄Cl, extracted with EA, separated and the organic layer was washed with brine, dried over Na₂SO₄, concentrated in vacuum. The residue was purified by column chromatography on silica gel (PE/EA, 100:0-100:1) to give compound 19C (5.3 g, 63%).

Step 3: Synthesis of Compound 19D

To a solution of compound 19C (5.3 g, 23 mmol, 1.0 eq) in DCM (20 mL) was added NBS (4.3 g, 24 mmol, 1.05 eq) and diisopropylamine (460 mg, 4.6 mmol, 0.2 eq), stirred at rt for 4 h. Then the reaction was concentrated to give a residue, which was purified by column chromatography on silica gel (PE) to give compound 19D (5.0 g, 71%).

Step 4: Synthesis of Compound 19E

To a solution of compound 19D (4.0 g, 12.9 mmol, 1.0 eq) in DCM (1 mL) was added TFA (2 mL) and stirred at rt for 12 h. Then the mixture was filtered and the filtrate was concentrated, and purified to give compound 19E (745 mg, 23%).

Step 5: Synthesis of Compound 19F

To a solution of compound 19E (200 mg, 0.79 mmol, 1.0 eq) in DMF (2 mL) at 0° C. was added sodium hydride (133 mg, 60%, 1.98 mmol, 2.5 eq). The mixture was stirred at 0° C. for 15 min and then benzyl bromide (299 mg, 1.75 mmol, 2.2 eq) was added. The mixture was stirred at rt for 3 h, and quenched with ammonium chloride solution (1 mL). The mixture was extracted with PE:EA=1:1. The organic layer was washed with brine, dried over Na₂SO₄, concentrated in vacuum. The residue was purified by prep-TLC to give compound 19F (100 mg, 29%).

Step 6: Synthesis of Compound 19G

To a solution of compound 19F (500 mg, 1.4 mmol, 1.0 eq) in dry DMF (4 mL) was added acrylic acid (0.19 mL, 2.8 mmol, 2.0 eq), Pd(OAc)₂ (34.7 mg, 0.142 mmol, 0.1 eq), P(O-toly)₃ (65 mg, 0.21 mmol, 0.15 eq) and triethylamine (0.59 mL, 4.26 mmol, 3.0 eq). The mixture was stirred at 100° C. for 12 h. The mixture was filtered, and extracted with EA. The organic layer was washed with brine, dried over Na₂SO₄, concentrated in vacuo to give compound 19G (369 mg, 75%).

Step 7: Synthesis of Compound 19H

A mixture of compound 19G (2.33 g, 5.49 mmol, 1.0 eq) in chloroform (20 mL) at 0° C. was added bromine (0.31 mL, 6.04 mmol, 1.1 eq). The resulting mixture was stirred at rt for 12 h, and concentrated to give crude compound 1911 (2.33 g, 73%).

Step 8: Synthesis of Compound 19I

To a solution of compound 1911 (2.33 g, 5.49 mmol, 1.0 eq) in DMF (15 mL) at 0° C. was added triethylamine (1.11 g, 11.0 mmol, 2.0 eq). The mixture was stirred at rt for 12 h. The mixture was concentrated in vacuum. The residue was purified by column chromatography on silica gel (PE/EA, 3:1) to give compound 191 (1.73 g, 94%).

Step 9: Synthesis of Compound 19J

A mixture of compound 191 (1.68 g, 3.67 mmol, 1.0 eq) in dioxane (20 mL) was added bis[(+)-pinanediolato]diboron (1.57 g, 4.4 mmol, 1.2 eq), PdCl₂(dppf) (299 mg, 0.37 mmol, 0.1 eq) and KOAc (1.08 g, 11 mmol, 3.0 eq). The resulting mixture was stirred at 59° C. for 1.5 h, and then concentrated. The residue was purified by prep-TLC to give compound 19J (408 mg, 22%).

Step 10: Synthesis of Compound 19K

To a solution of compound 19J (408 mg, 0.731 mmol, 1.0 eq) and Pd(OAc)₂ (9 mg, 0.036 mmol, 0.05 eq) in dry THF (2 mL) −40° C. was added diazomethane (20 mL, 2.92 mmol, 4.0 eq) and stirred at −40° C. for 2 h, and filtered. The filtrate was concentrated in vacuo to give compound 19K (379 mg, 90%).

Step 11: Synthesis of Compound 19′

To a solution of compound 19K (375 mg, 0.66 mmol, 1.0 eq) in DCM (1 mL) was added tribromoborane solution in DCM (1 M, 6.6 mL, 6.6 mmol, 10 eq). The mixture was stirred at rt for 1 h. The mixture was concentrated, dissolve in acetonitrile and water (1 mL/1 mL), and purified by prep-HPLC to give a free acid (28.7 mg), which was treated with 0.1N NaOH (2.0 eq) in MeCN/H₂O at rt for 2 h. The mixture was purified by prep-HPLC again to give 19′ (28.2 mg, 18%) as a white solid. LC-MS: 282 [M+MeCN+H]⁺. ¹H NMR (400 MHz, CD₃OD) δ 7.05-6.93 (m, 1H), 1.85-1.76 (m, 1H), 0.91-0.83 (m, 1H), 0.48-0.31 (m, 2H).

Example 20 Disodium salt of (1aS,7bR)-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[6,7]oxaborinino[2,3-c]pyridine-4-carboxyli c acid (Compound 20′)

Step 1: Synthesis of Compound 20B

To a solution of compound 20A (100.0 g, 0.719 mol, 1.0 eq) in methanol (1.5 L) was added conc. sulfuric acid (120 mL, 2.157 mol, 3.0 eq) and the reaction mixture was heated to reflux (83° C.) overnight. The solvent was removed in vacuo, and the residue was diluted with water (1.5 L), and adjusted to pH 8.5 with solid K₂CO₃, then extracted with DCM (3×1 L). The organic phases were dried over sodium sulfate and concentrated under reduced pressure to give compound 20B (94 g, 85%) as a slightly blue solid. ¹H NMR (400 MHz, CDCl₃) δ 10.61 (s, 1H), 8.28 (dd, J=4.1, 1.4 Hz, 1H), 7.42 (dd, J=8.5, 4.2 Hz, 1H), 7.37 (dd, J=8.5, 1.5 Hz, 1H), 4.05 (s, 3H)

Step 2: Synthesis of Compound 20C

To a solution of compound 20B (114 g, 0.745 mol, 1.0 eq) in water (8 L) at 10° C. was added bromine (114.6 mL, 2.235 mol, 3.0 eq). The reaction mixture was stirred at rt overnight. The reaction mixture was extracted with DCM (2×8 L). The organic phase was separated, and dried over sodium sulfate, and concentrated to give crude compound 20C (186 g, 81%) as a slightly yellow solid. ¹H NMR (400 MHz, CDCl₃) δ 11.35 (s, 1H), 7.56 (s, 1H), 4.06 (s, 3H).

Step 3: Synthesis of Compound 20D

To a solution of compound 20C (186 g, 0.631 mol, 1.0 eq) and cesium carbonate (514.3 g, 1.578 mol, 2.5 eq) in DMF (2 L) at 0° C. was added benzyl bromide (89.1 mL, 0.757 mol, 1.2 eq). The reaction mixture was stirred at rt for 2 h. The reaction mixture was filtered through a pad of Celite. The filtrate was concentrated under reduced pressure to give a residue, which was purified by flash column chromatography on silica (PE/EA=20:1) to give compound 20D (199 g, 83%) as a white solid. ¹H NMR (400 MHz, CDCl₃) δ 7.88 (s, 1H), 7.52-7.50 (d, J=6.1 Hz, 2H), 7.43-7.37 (d, J=7.2 Hz, 3H), 5.13 (s, 2H), 3.92 (s, 3H).

Step 4: Synthesis of Compound 20E

A solution of compound 20D (199 g, 0.499 mol, 1.0 eq), Pd(PPh₃)₄ (28.8 g, 0.025 mol, 0.05 eq) and sodium formate (37.3 g, 0.549 mol, 1.1 eq) in DMF (2 L) under nitrogen was heated at 80° C. and stirred overnight. After being filtered through a pad of Celite, the filtrate was concentrated under reduced pressure. The residue was triturated with MeOH/DCM/EA/PE (1:3:3:3, 2×2 L), the mother liquid was concentrated under reduced pressure, and the residue was purified by flash chromatography on silica (PE/EA=10:1) to give compound 20E (78 g, 49%) as a slightly yellow solid. ¹H NMR (400 MHz, CDCl₃) δ 8.25-8.20 (m, 1H), 7.68-7.65 (m, 1H), 7.49 (m, 2H), 7.37-7.30 (m, 2H), 7.22-7.20 (m, 3.0 Hz, 1H), 5.16-4.99 (m, 2H), 3.89-3.88 (m, 3.0 Hz, 3H).

Step 5: Synthesis of Compound 20F

To a solution of compound 20E (78 g, 0.243 mol, 1.0 eq) in dry DMF (800 mL) was added compound acrylic acid (26.3 g, 0.364 mol, 1.5 eq), Pd(OAc)₂ (3.27 g, 14.6 mmol, 0.04 eq), P(o-toly)₃ (4.44 g, 29.2 mmol, 0.08 eq) and triethylamine (152 mL, 1.09 mol, 3.0 eq). The reaction mixture under N₂ was stirred at 100° C. overnight. The reaction was monitored by TLC. The mixture was filtered, and concentrated under reduced pressure. The solid was washed with PE:EA:MeOH=3:3:1 (2×), and filtered. The solid was dried to give compound 20F (60.2 g, 79%) as an off-white solid. ¹H NMR (400 MHz, DMSO-d6) δ 8.43 (d, J=4.9 Hz, 1H), 7.96 (d, J=4.9 Hz, 1H), 7.69 (d, J=16.2 Hz, 1H), 7.40-7.37 (m, 5H), 6.77 (d, J=16.1 Hz, 1H), 4.96 (s, 2H), 3.85 (s, 3H).

Step 6: Synthesis of Compound 20G

To a solution of compound 20F (60.2 g, 0.192 mol, 1.0 eq) in acetic acid (1.0 L) at 5° C. was added bromine (19.7 mL, 0.384 mol, 2.0 eq). The reaction mixture was stirred at rt for two days. The reaction was monitored by LCMS. Then the solvent was removed under reduced pressure to give crude compound 20G (87 g), which was used directly for the next step without further purification.

Step 7: Synthesis of Compound 20H

To a solution of crude compound 20G (87 g, 0.184 mmol, 1.0 eq) in DMF (1.0 L) at 0° C. was added triethylamine (76.8 mL, 0.552 mol, 3.0 eq). The reaction mixture was stirred at rt overnight. The reaction was monitored by LC-MS. Then the mixture was filtered and the filtrate was concentrated under reduced pressure and the residue was purified by flash chromatography on silica (PE/EA=30:1-15:1-7:1) to give compound 2011 (13.2 g, 19% over two steps) as brown oil. ¹H NMR (400 MHz, CDCl₃) δ 8.50 (d, J=4.8 Hz, 1H), 7.96 (d, J=4.8 Hz, 1H), 7.43-7.37 (m, 5H), 7.24 (d, J=8.3 Hz, 1H), 6.71 (d, J=8.3 Hz, 1H), 5.01 (s, 2H), 3.96 (s, 3H).

Step 8: Synthesis of Compound 20I

A mixture of bromide 2011 (14.8 g, 42.6 mmol, 1.0 eq), bis(pinacolato)diboron (16.3 g, 64 mmol, 1.5 eq), [1,1′-bis(diphenylphosphino)ferrocene]dichloropalladium (5.2 g, 6.4 mmol, 0.15 eq), potassium acetate (8.4 g, 85.0 mmol, 2.0 eq) in dioxane (150 mL) was degassed and filled with nitrogen three times, and heated at 50° C. overnight. The reaction mixture was cooled to rt, filtered through a pad of Celite, washed with ethyl acetate. The filtrate was concentrated and purified with flash column chromatography (ethyl acetate:hexane=1:2 to 2:1 and DCM:MeOH, 10:1) to give boronic ester 201 (14.6 g, 87%) as brown oil.

Step 9: Synthesis of Compound 20J

A mixture of 201 (4.75 g, 12.0 mmol, 1.0 eq) and (+)-pinanediol (4.08 g, 24.0 mmol, 2.0 eq) in THF (50 mL) was stirred at rt overnight. The reaction was concentrated and purified by flash column chromatography (ethyl acetate:hexane=1:3 to 1:2) to give compound 20J (4.0 g, 75%) as light yellow oil.

Step 10: Synthesis of Compounds 20K and 20L

To a mixture of compound 20J (4.0 g, 8.95 mmol, 1.0 eq) and palladium acetate (60 mg, 0.268 mmol, 0.03 eq) in THF (50 mL) at −10° C. (ice-water salt bath) was added diazomethane solution (0.30 M in ether, 150 mL, 45 mmol, 5.0 eq) dropwise over 30 min. The brown clear solution was warmed up to rt and stirred overnight. The reaction mixture was filtered through a pad of Celite, and washed with DCM. The filtrate was concentrated and purified by flash column chromatography (ethyl acetate:hexane=1:3 to 1:2) to give cyclopropannulated isomeric mixture (3.37 g, 82%) as yellow oil. Part of the diastereoisomer mixture was purified with prep-HPLC (C18, 250×21 mm, 0.1% formic acid in both acetonitrile and water) to give isomer 20K and pure isomer 20L.

Step 11: Synthesis of Compound 20′

To a solution of 20K (150 mg, 0.28 mmol, 1.0 eq) in dichloromethane (6 mL) at −78° C. was added boron tribromide (0.08 mL, 0.84 mmol, 3.0 eq). The reaction mixture was slowly warmed to rt and stirred for 1 h. The mixture was concentrated to give a solid residue, which was dissolved in acetonitrile (5 mL). To the solution at rt were added 3N HCl (1.5 mL) and isobutylboronic acid (114 mg, 1.12 mmol, 4.0 eq). After being stirred at rt for 4 h, the reaction mixture was purified by prep-HPLC (C18, 250×21 mm, 0.1% formic acid in both acetonitrile and water) to give the free acid compound 20 (34 mg, 94%). The acid product (34 mg, 0.16 mmol) in acetonitrile/water (1:2, 5 mL) was treated with 0.1 N NaOH (3.5 mL), and stirred for 4 h, and lyophilized to give sodium salt compound 20′ (50.6 mg) as an off-white solid. LC-MS: 206 [M+1]⁺. ¹H NMR (300 MHz, D₂O) δ 7.54 (d, J=5.1 Hz, 1H), 7.17 (d, J=5.4 Hz, 1H), 1.82-1.75 (m, 1H), 0.96-0.87 (m, 1H), 0.45-0.28 (m, 2H).

Example 21 Disodium salt of (1aR,7bS)-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[6,7]oxaborinino[2,3-c]pyridine-4-carboxylic acid (Compound 21′)

To a solution of compound 20L (420 mg, 0.91 mmol, 1.0 eq) in dichloromethane (20 mL) at −78° C. was added boron tribromide (0.264 mL, 2.74 mmol, 3.0 eq). The reaction mixture was slowly warmed to rt and stirred for 2 h. The mixture was concentrated to give a residue, which was dissolved in acetonitrile (10 mL). To the solution at rt were added 3N HCl (3 mL) and isobutylboronic acid (200 mg, 2.0 eq). After being stirred at rt for 4 h, the reaction mixture was concentrated, and dissolved in acetonitrile and water, and lyophilized to obtain the crude product as yellow brown solid. The crude product was purified by prep-HPLC (C18, 250×21 mm, 0.1% formic acid in both acetonitrile and water) to give the free acid compound 21 (175 mg, 94%). The acid product (175 mg, 0.85 mmol) in acetonitrile/water (1:2, 15 mL) was treated with 1 N NaOH (0.85 mL), and stirred for 2 h, and lyophilized to give a crude sodium salt as a light yellow solid. The yellow solid was dissolved in water (2.2 mL). To the solution was added acetone (20 mL). The acetone solution was decanted, and the solid was washed with acetone (3×). The water/acetone washing process was repeated to give the pure product sodium salt compound 21′ (150 mg, 78%) after drying in vacuo. LC-MS: 206 [M+1]⁺. ¹H NMR (300 MHz, D₂O) δ 7.46 (d, J=4.8 Hz, 1H), 7.06 (d, J=5.1 Hz, 1H), 1.75-1.65 (m, 1H), 0.88-0.78 (m, 1H), 0.36-0.18 (m, 2H).

Example 22 Disodium salt of 2,2-dihydroxy-1a-(hydroxymethyl)-5-methoxy-1,7b-dihydrocyclopropa[c][1,2]benzoxaborinine-4-carboxylic acid (Compound 22′)

Step 1: Synthesis of Compound 8A

A mixture of compound 1C (60.0 g, 0.210 mol, 1.0 eq), potassium vinyltrifluoroborate (42.2 g, 0.315 mol, 1.5 eq), PdCl₂(dppf) (17.0 g, 0.021 mol, 0.1 eq), and triethylamine (87.7 mL, 0.629 mol, 3.0 eq) in dioxane (600 mL) under nitrogen was heated to 95° C. overnight. TLC showed no 1C left. The reaction mixture was filtered through a pad of Celite. The filtrate was concentrated under reduced pressure to give a residue, which was purified by flash column chromatography on silica (PE/EA/DCM=2:1:1) to give compound 8A (43 g, 87%) as a white solid. ¹H NMR (400 MHz, CDCl₃) δ 7.65 (d, J=8.9 Hz, 1H), 6.80 (dd, J=17.6, 11.4 Hz, 1H), 6.64 (d, J=8.8 Hz, 1H), 5.66 (d, J=17.7 Hz, 1H), 5.41-5.11 (m, 1H), 3.96 (s, 3H), 1.71 (d, J=8.9 Hz, 6H).

Step 2: Synthesis of Compound 8B

To a solution of compound 8A (23 g, 0.098 mol, 1.0 eq) in DCM (200 mL) at −78° C. was bubbled with ozone till the color of the solution turned into blue. The reaction mixture was stirred for 16 h. TLC showed no 8A left. The reaction mixture was added PPh₃ (15 g, 0.057 mol, 0.6 eq), warm to rt., stirred for 0.5 h. the reaction was monitored by TLC. The reaction mixture was concentrated under reduced pressure to give a residue, which was purified by flash column chromatography on silica (PE/EA/DCM=3:1:1) to give compound 8B (15 g, 64%) as a yellow solid. ¹H NMR (400 MHz, CDCl₃) δ 10.22 (s, 1H), 8.08 (d, J=9.0 Hz, 1H), 6.76 (d, J=8.6 Hz, 1H), 4.05 (s, 3H), 1.79 (s, 6H).

Step 3: Synthesis of Compound 22A

To a solution of compound 8B (15 g, 0.064 mol, 1.0 eq) in dry THF (200 mL) was added 2-(triphenylphosphoranylidene)acetaldehyde (35 g, 0.115 mol, 1.8 eq) under nitrogen. The reaction mixture was stirred at 100° C. overnight. The reaction mixture was concentrated under reduced pressure to give a residue, which was purified by flash column chromatography on silica (DCM/MeOH=100:1) to give compound 22A (6.0 g, 36%) as a yellow solid. ¹H NMR (400 MHz, CDCl₃) δ 9.73-9.61 (m, 1H), 7.83-7.72 (m, 1H), 7.64-7.54 (m, 1H), 6.78-6.62 (m, 2H), 4.09-3.96 (m, 3H), 1.86-1.72 (m, 6H).

Step 4: Synthesis of Compound 22B

To a solution of compound 22A (6.0 g, 0.023 mol, 1.0 eq) in dry DCM (120 mL) at −78° C. under nitrogen was added bromine (1.17 mL, 0.023 mol, 1.0 eq). The solution was stirred for 0.5 h. Triethylamine (3.8 mL, 0.027 mol, 1.2 eq) was added. The solution was warmed to rt, and stirred overnight. The reaction mixture was concentrated under reduced pressure to give a residue, which was purified by flash column chromatography on silica (DCM/MeOH=300:1) to give compound 22B (6.2 g, 80%) as a yellow solid. ¹H NMR (400 MHz, CDCl₃) δ 9.34 (s, 1H), 8.76 (d, J=8.5 Hz, 1H), 8.06 (s, 1H), 6.79 (d, J=9.0 Hz, 1H), 4.05 (s, 3H), 1.77 (d, J=16.3 Hz, 6H).

Step 5: Synthesis of Compound 22C

To a solution of compound 22B (6.2 g, 0.018 mol, 1.0 eq) in methanol (60 mL) was added NaBH₄ (0.69 g, 0.018 mol, 1.0 eq) at 0° C. under nitrogen, the reaction mixture was stirred for 0.5 h, TLC showed no 22B left. The mixture was concentrated under reduced pressure to give a residue, which was purified by flash column chromatography on silica (DCM/MeOH=100:1) to give compound 22C (5.7 g, 92%) as a white foam solid. ¹H NMR (400 MHz, CDCl₃) δ 8.10 (d, J=7.2 Hz, 1H), 7.02 (s, 1H), 6.68 (d, J=7.1 Hz, 1H), 4.42 (s, 2H), 3.98 (d, J=1.8 Hz, 3H), 1.72 (d, J=1.8 Hz, 6H).

Step 6: Synthesis of Compound 22D

To a solution of compound 22C (4.5 g, 0.013 mol, 1.0 eq) and pyridine (2.1 mL, 0.026 mol, 2.0 eq) in ACN (45 mL) at 0° C. was added TBSOTf (3.6 mL, 0.016 mol, 1.2 eq) under nitrogen. The reaction mixture was warm to rt and stirred overnight. TLC showed no 22C left. Then the solvent was quenched with saturated NaHCO₃ (20 mL), extracted with EA (3×100 mL). The organic phases were dried over sodium sulfate and concentrated under reduced pressure to give a residue, which was purified by flash column chromatography on silica (PE/EA=7:1) to give compound 22D (5.6 g, 93%) as a white solid. ¹H NMR (400 MHz, CDCl₃) δ 8.14 (d, J=8.8 Hz, 1H), 7.14 (s, 1H), 6.67 (d, J=9.1 Hz, 1H), 4.39 (s, 2H), 3.98 (s, 3H), 1.71 (s, 6H), 0.96 (s, 9H), 0.14 (s, 6H).

Step 7: Synthesis of Compound 22E

A mixture of compound 22D (5.6 g, 0.012 mol, 1.0 eq), Bis[(+)-pinanediolato]diboron (6.6 g, 0.018 mol, 1.5 eq) and KOAc (3.6 g, 0.037 mol, 3.0 eq) and PdCl₂(dppf) (1.0 g, 0.001 mol, 0.1 eq) in dry dioxane (60 mL) under nitrogen. The reaction mixture was stirred at 60° C. overnight. TLC showed no 22D left. Then the mixture was filtered and the filtrate was extracted with EA (3×150 mL). The organic phase was dried over sodium sulfate and concentrated under reduced pressure to give a residue, which was purified by flash column chromatography on silica (PE/EA=10:1) to give compound 22E (5.5 g, 81%) as a yellow oil. ¹H NMR (400 MHz, CDCl₃) δ 7.68 (d, J=8.4 Hz, 1H), 7.19 (s, 1H), 6.55 (d, J=8.8 Hz, 1H), 4.42 (s, 2H), 4.28 (d, J=7.7 Hz, 1H), 3.95 (s, 3H), 2.28 (dd, J=33.7, 22.5 Hz, 2H), 2.03 (s, 1H), 1.90 (s, 2H), 1.70 (s, 6H), 1.36 (s, 3H), 1.16 (d, J=10.4 Hz, 1H), 0.94 (s, 15H), 0.11 (s, 6H).

Step 8: Synthesis of Compound 22F

To a solution of compound 22E (200 mg, 0.360 mmol, 1.0 eq) and Pd(OAc)₂ (4 mg, 0.018 mmol, 0.05 eq) in dry THF (3 mL) at −20° C. under nitrogen was added CH₂N₂ (0.277 M in ether, 19.5 mL, 5.4 mmol, 15 eq). The reaction mixture was warm to rt, stirred for 4 h. The reaction was monitored by LCMS. Then the mixture was filtered and the filtrate was concentrated under reduced pressure to give a residue, which was purified by prep-TLC (PE/EA=3.5:1) to give compound 22F (90 mg, 43.9%) as a colorless oil. ¹H NMR (400 MHz, CDCl₃) δ 7.30 (d, J=8.8 Hz, 1H), 7.24 (s, 1H), 4.04 (t, J=10.7 Hz, 1H), 3.92 (s, 3H), 3.89 (s, 1H), 3.59 (d, J=3.7 Hz, 1H), 2.20-2.13 (m, 1H), 2.08 (t, J=7.0 Hz, 1H), 2.01 (d, J=5.9 Hz, 1H), 1.84 (s, 1H), 1.76 (s, 1H), 1.70 (s, 6H), 1.59 (s, 1H), 1.27 (dd, J=10.9, 6.9 Hz, 3H), 1.16 (s, 1H), 1.14 (s, 1H), 0.89 (s, 12H), 0.70 (d, J=4.3 Hz, 3H), 0.50 (d, J=10.1 Hz, 1H), 0.06 (d, J=5.8 Hz, 6H).

Step 9: Synthesis of Compound 22G

To a solution of compound 22F (85 mg, 0.149 mmol, 1.0 eq) in MeOH/H₂O (2 mL/0.4 mL) was added KHF₂ (76 mg, 0.974 mmol, 7 eq), stirred at 30° C. for 5 h, then stirred at rt for 1 d. The reaction was monitored by LCMS. The reaction was purified by prep-HPLC (under netrual condition) to give compound 22G (30 mg, 62.5%) as a white solid. ¹H NMR (400 MHz, cd₃od) δ 7.34 (d, J=8.8 Hz, 1H), 6.69 (t, J=9.0 Hz, 1H), 3.87 (s, 3H), 3.73 (d, J=10.8 Hz, 1H), 3.38 (d, J=10.9 Hz, 1H), 1.82 (t, J=7.0 Hz, 1H), 1.72 (s, 6H), 1.33 (t, J=5.0 Hz, 1H), 0.88 (dd, J=8.1, 4.3 Hz, 1H).

Step 10: Synthesis of Compound 22′

To a mixture of compound 22G (30 mg, 0.093 mmol, 1.0 eq) in ACN/H₂O (0.5 mL/0.5 mL) was added 3 M NaOH (0.06 mL, 0.186 mmol, 2.0 eq), stirred for 2 h. The reaction was monitored by LCMS. The reaction was purified by prep-HPLC (under netrual conditions) to give compound 22′ (9.5 mg, 39%) as a white solid. ¹H NMR (400 MHz, CD₃OD) δ 6.88 (d, J=8.2 Hz, 1H), 6.23 (d, J=8.2 Hz, 1H), 3.95 (d, J=10.2 Hz, 1H), 3.70 (s, 3H), 3.07 (d, J=10.2 Hz, 1H), 1.48 (dd, J=7.7, 3.9 Hz, 1H), 0.53 (d, J=8.9 Hz, 2H).

Example 23 Disodium salt of (3aS,9bS)-4,4-dihydroxy-7-methoxy-1,3,3a,9b-tetrahydrofuro[3,4-c][1,2]benzoxaborinine-6-carboxylic acid (Compound 23′)

Step 1: Synthesis of Compound 23B

A mixture of compound 23A (15.0 g, 174.8 mmol, 10.0 eq), 1C (5.0 g, 17.5 mmol, 1.0 eq), X-Phos (5.0 g, 10.49 mmol, 0.6 eq), K₃PO₄ (18.5 g, 87.4 mmol, 5.0 eq) and Pd₂(dba)₃ (3.2 g, 3.50 mmol, 0.2 eq) in THF (150 mL) was heated at 75° C. for 16 h under nitrogen atmosphere. The mixture was cooled to rt, filtered and the filtrate was concentrated in vacuum. The residue was purified by column chromatography on a silica gel (PE/EA, 5:1) to give compound 23B (1.1 g, 22%).

Step 2: Synthesis of Compound 23C

To a solution of compound 23B (440 mg, 1.5 mmol, 1.0 eq) in dry THF (15 mL) at −78° C., was LiHMDS (1.8 mL, 1.8 mmol, 1.2 eq) was added dropwise. The solution was stirred −78° C. for 30 min. To the mixture was added compound N-(5-Chloro-2-pyridyl)bis(trifluoromethanesulfonimide) (650 mg, 1.66 mmol, 1.1 eq) in dry THF (5 mL) and stirred at −78° C. for 1.5 h. After the reaction was complete, the mixture was poured into water, and extracted with ethyl acetate. The organic layer was washed with brine, dried over Na₂SO₄, concentrated. The residue was purified by column chromatography on a silica gel (PE/EA, 1:1) to give compound 22C (367 mg, 57%).

Step 3: Synthesis of Compound 23D

To a solution of compound 23C (400 mg, 1.06 mmol, 1.0 eq) in dioxane (20 mL) was added compound bis(pinacolato)diboron (323 mg, 1.27 mmol, 1.2 eq), PdCl₂(dppf) (26 mg, 0.032 mmol, 0.03 eq) and KOAc (312 mg, 3.18 mmol, 3.0 eq). The mixture was stirred at 80° C. overnight. To the reaction was added water and extracted with ethyl acetate. The organic layer was washed with brine, dried over Na₂SO₄, concentrated. The residue was purified by column chromatography on silica gel (PE/EA, 1:1) to give compound 23D (310 mg, 81%).

Step 4: Synthesis of Compound 23E

To a solution of compound 23D (90 mg, 0.22 mmol, 1.0 eq) in methanol (10 mL) was added Pd/C (9 mg, 10% w/w). The mixture was stirred at rt for 5 h, then filtered and the filtrate was concentrated to give crude compound 23E (90 mg).

Step 5: Synthesis of Compound 23′

To a mixture of compound 23E (90 mg, 0.22 mmol, 1.0 eq) in CH₃CN/H₂O (1 mL/1 mL) was added 3.0 N NaOH to adjust the solution to pH 9˜10. The mixture was stirred at rt for 12 h, purified by prep-HPLC to give compound 23′ (17.1 mg, 29%). LC-MS: 265 [M+H]⁺. ¹H NMR (400 MHz, CD₃OD) δ 6.83 (d, J=8.4 Hz, 1H), 6.35 (d, J=8.4 Hz, 1H), 4.01-3.94 (m, 3H), 3.73 (s, 3H), 3.61-3.52 (m, 1H), 3.41-3.28 (m, 1H), 1.55-1.42 (m, 1H).

Example 24 Disodium salt 4,4-dihydroxy-7-methoxy-1,3-dihydrofuro[3,4-c][1,2]benzoxaborinine-6-carboxylic acid (Compound 24′)

Step 1: Synthesis of Compound 24A

To a solution of compound 23D (150 mg, 0.373 mmol, 1.0 eq) in CH₃OH/H₂O (1.5 mL/0.3 mL) was added KHF₂ (203 mg, 2.61 mol, 7.0 eq). The mixture was stirred at rt for 12 h. purified by prep-HPLC to give compound 24A (25 mg, 21%).

Step 2: Synthesis of Compound 24′

To a mixture of compound 24A (47 mg, 0.14 mmol, 1.0 eq) in CH₃CN/H₂O (1 mL/1 mL) was added 3.0 N NaOH to adjust the mixture to pH 10. The mixture was stirred at rt for 12 h, purified by prep-HPLC to give compound 24′ (20 mg, 52%). LC-MS: 263[M+H]⁺. ¹H NMR (400 MHz, CD3OD): δ 6.69 (d, J=8.8 Hz, 1H), 6.33 (d, J=8.4 Hz, 1H), 4.98-4.92 (m, 2H), 4.86-4.81 (m, 2H), 3.75 (s, 3H).

Example 25 General Procedures for the Preparation of Chloromethylcarbonate Prodrug Precursors

To a stirred solution of chloromethyl chloroformate (5.0 mmol) and pyridine (5.1 mmol) in anhydrous dichloromethane (30 mL) at 0° C. (ice-bath) slowly added an alcohol (5.0 mmol). The reaction was warmed to rt and monitored by TLC plate. After the starting material was completely consumed, the solvents were removed to give a residue, which was purified by silica-gel flash chromatography to afford corresponding chloride prodrug precursor.

The following prodrug precursors were synthesized using the general procedure described above.

¹H NMR (300 MHz, CDCl₃) δ 5.72 (s, 2H), 4.32 (q, J=9.0 Hz, 2H), 1.14 (t, J=9.0 Hz, 3H).

¹H NMR (300 MHz, CDCl₃) δ 5.72 (s, 2H), 4.74-4.62 (m, 1H), 1.98-1.92 (m, 2H), 1.81-1.69 (m, 2H), 1.42-1.25 (m, 5H).

¹H NMR (300 MHz, CDCl₃) δ 5.73 (s, 2H), 5.21-4.92 (m, 1H), 4.92-4.88 (m, 2H), 4.73-4.69 (m, 2H).

¹H NMR (300 MHz, CDCl₃) δ 5.76 (s, 2H), 4.69 (s, 2H), 4.26 (dd, J=15.0, and 6.0 Hz, 2H), 1.30 (t, J=9.0 Hz, 3H).

¹H NMR (300 MHz, CDCl₃) δ 5.73 (s, 2H), 4.37 (t, J=6.0 Hz, 2H), 3.64 (t, J=6.0 Hz, 2H), 3.39 (s, 3H).

¹H NMR (300 MHz, CDCl₃) δ 5.73 (s, 2H), 4.90-4.81 (m, 2H), 3.97-3.90 (m, 2H), 2.04-1.98 (m, 2H), 1.80-1.74 (m, 2H).

¹H NMR (300 MHz, CDCl₃) δ 5.74 (s, 2H), 4.43 (t, J=6.0 Hz, 2H), 4.31 (t, J=6.0 Hz, 2H), 2.09 (s, 3H).

¹H NMR (300 MHz, CDCl₃) δ 5.77 (s, 2H), 4.81 (s, 2H), 3.02 (s, 3H), 2.98 (s, 3H).

General Procedures for the Preparation of Chloromethylacyloxy Esters Prodrug Precursors

To a well stirred solution an acid (5.0 mmol) and potassium hydroxide (5.1 mmol) tetrabutylammonium hydrogen sulfate (0.5 mmol) and potassium bicarbonate (50 mmol) in water (2 mL) and DCM (4 mL) was chloromethanesulfonyl chloride (5.0 mmol). The mixture was monitored by TLC plate. When the starting material was completely consumed, the mixture was extracted with DCM for 3 times. The combined DCM solution was dried over sodium sulfate. The solution was concentrated and the residue was purified by silica gel flash chromatography with eluent of 10% DCM in ethyl acetate to give the product.

The following prodrug precursors were synthesized using the general procedure described above.

¹H NMR (300 MHz, CDCl₃) δ 5.71 (s, 2H), 4.47-4.41 (m, 1H), 3.68-3.60 (m, 2H), 2.25-2.21 (m, 2H), 2.10 (s, 3H).

¹H NMR (300 MHz, CDCl₃) δ 5.71 (s, 2H), 4.01-3.91 (m, 1H), 3.46-3.38 (m, 2H), 3.38-3.25 (m, 2H), 1.95-1.71 (m, 4H).

¹H NMR (300 MHz, CDCl₃) δ 5.75 (s, 2H), 4.67 (s, 2H), 2.12 (s, 3H).

¹H NMR (300 MHz, CDCl₃) δ 5.77 (s, 2H), 4.11 (s, 2H), 3.47 (s, 3H);

General Procedures for the Preparation of Compound 13 Prodrugs

A 10 mL-flask was flame-dried under vacuum, back-filled with nitrogen and cooled to rt. The flask was charged with compound 13 (100 mg, 0.45 mmol, 1 eq.), potassium carbonate (186 mg, 1.35 mmol, 3 eq.), and potassium iodide (224 mg, 1.35 mmol, 3 eq.). The reaction flask was placed under vacuum and back-filled with nitrogen three times. Anhydrous DMF (2 mL, 0.25 M) followed by freshly prepared chloride (0.90 mmol, 2 eq.) were added via syringe under nitrogen. The resulting mixture was stirred at 50° C. for 12 hrs under a nitrogen balloon. The reaction was monitored by LCMS and HPLC. After the starting material was consumed, the mixture cooled to rt. Acetonitrile (1 mL) and water (2 mL) were added, and the clear solution was purified preparative-HPLC to afford the desired product after lyophilization.

The following prodrugs were synthesized using the general procedure described above.

Isopropoxycarbonyloxymethyl (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 25)

LCMS: 676.0 [2M+1]⁺; ¹H NMR (300 MHz, CDCl₃) δ 7.34 (dd, J=8.4 and 6.3 Hz, 1H), 6.74 (t, J=9.0 Hz, 1H), 5.99 (d, J=5.4 Hz, 1H), 5.86 (d, J=5.7 Hz, 1H), 4.98-4.92 (m, 1H), 2.28-2.21 (m, 1H), 1.37-1.30 (m, 8H), 0.69-0.61 (m, 1H), 0.48-0.43 (m, 1H); ¹⁹F NMR (282 MHz, CDCl₃) δ −117.4.

Butanoyloxymethyl (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 26)

LCMS: 340.0 [M+H₂O]⁺; ¹H NMR (300 MHz, CDCl₃) δ 7.27 (t, J=6.0 Hz, 1H), 6.67 (t, J=9.0 Hz, 1H), 5.94 (d, J=3.0 Hz, 1H), 5.87 (d, J=3.0 Hz, 1H), 2.41-2.36 (m, 2H), 2.30-2.17 (m, 1H), 1.73-1.61 (m, 2H), 1.30-1.25 (m, 1H), 0.94 (t, J=7.5 Hz, 3H), 0.67-0.57 (m, 1H), 0.46-0.38 (m, 1H); ¹⁹F (CDCl₃, 282 MHz) δ −117.6.

Cyclopropoxycarbonyloxymethyl (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 27)

LCMS: 338.0 [M+H₂O]⁺; ¹H NMR (300 MHz, CDCl₃) δ 7.14 (t, J=6.0 Hz, 1H), 6.53 (t, J=9.0 Hz, 1H), 5.79 (d, J=3.0 Hz, 1H), 5.69 (d, J=3.0 Hz, 1H), 2.30-2.17 (m, 1H), 1.78-1.60 (m, 1H), 1.16-1.00 (m, 2H), 1.00-0.85 (m, 2H), 0.58-0.60 (m, 1H), 0.48-0.42 (m, 1H); ¹⁹F (CDCl₃, 282 MHz) δ −117.6.

Acetoxymethyl (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 28)

LCMS: 317.0 [M+Na]⁺; ¹H NMR (300 MHz, CDCl₃) δ 7.14 (t, J=6.0 Hz, 1H), 6.53 (t, J=9.0 Hz, 1H), 5.79 (d, J=3.0 Hz, 1H), 5.69 (d, J=3.0 Hz, 1H), 2.30-2.17 (m, 1H), 2.17 (s, 3H), 1.30-1.25 (m, 1H), 0.58-0.60 (m, 1H), 0.48-0.42 (m, 1H); ¹⁹NMR (CDCl₃, 282 MHz) δ −117.4.

Ethoxycarbonyloxymethyl (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 29)

LCMS: 646.7 [2M−H]⁻; ¹H NMR (300 MHz, CDCl₃) δ 7.14 (t, J=6.0 Hz, 1H), 6.53 (t, J=9.0 Hz, 1H), 5.79 (d, J=3.0 Hz, 1H), 5.69 (d, J=3.0 Hz, 1H), 4.08 (q, J=6.0 Hz, 1H), 2.04-1.98 (m, 1H), 1.41 (t, J=3.0 Hz, 3H), 1.20-1.12 (m, 1H), 0.51-0.41 (m, 1H), 0.27-0.21 (m, 1H); ¹⁹F NMR (CDCl₃, 282 MHz) δ −117.2.

Cyclohexoxycarbonyloxymethyl (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 30)

LCMS: 754.7 [2M−H]⁻; ¹H NMR (300 MHz, CDCl₃) δ 7.33 (dd, J₁=15.0 Hz, J₂=8.7 Hz, 1H), 6.72 (t, J=8.4 Hz, 1H), 5.98 (d, J=6.0 Hz, 1H), 5.87 (d, J=6.0 Hz, 1H), 4.72-4.65 (m, 1H), 2.25-2.19 (m, 2H), 1.76-1.73 (m, 2H), 1.56-1.45 (m, 3H), 1.42-1.20 (m, 4H), 0.67-0.61 (m, 1H), 0.48-0.43 (m, 1H); ¹⁹F NMR (CDCl₃, 282 MHz) δ −117.6.

[2-(dimethylamino)-2-oxo-ethyl](1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 31)

LCMS: 308.0 [M+H]⁺; ¹H NMR (300 MHz, CDCl₃) δ 7.34 (dd, J=8.4 and 6.5 Hz, 1H), 6.71 (t, J=9.0 Hz, 1H), 4.39 (d, J=13.8 Hz, 1H), 4.24 (d, J=13.8 Hz, 1H), 3.10 (s, 3H), 3.01 (s, 3H), 2.21-2.15 (m, 1H), 1.37-1.30 (m, 1H), 0.69-0.61 (m, 1H), 0.48-0.43 (m, 1H); ¹⁹F NMR (282 MHz, CDCl₃) δ −117.4.

Oxetan-3-yloxycarbonyloxymethyl (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 32)

LCMS: 351.0 [M−H₂O]⁻; ¹H NMR (300 MHz, CDCl₃) δ 7.36 (dd, J₁=15.0 Hz, J₂=8.7 Hz, 1H), 6.74 (t, J=8.4 Hz, 1H), 6.00 (d, J=6.0 Hz, 1H), 5.90 (d, J=6.0 Hz, 1H), 5.51-5.44 (m, 1H), 4.94-4.89 (m, 1H), 4.79-4.70 (m, 1H), 2.04-1.98 (m, 1H), 1.41 (t, J=3.0 Hz, 3H), 1.20-1.12 (m, 1H), 0.51-0.41 (m, 1H), 0.27-0.21 (m, 1H); ¹⁹F NMR (CDCl₃, 282 MHz) δ −117.6.

(5-Methyl-2-oxo-1,3-dioxol-4-yl)methyl (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 33)

LCMS: 352.0 [M+H₂O]⁺; ¹H NMR (300 MHz, CDCl₃) δ 7.34 (t, J=6.0 Hz, 1H), 6.73 (t, J=9.0 Hz, 1H), 5.08 (s, 2H), 2.22 (s, 3H), 2.30-2.17 (m, 1H), 1.41-1.31 (m, 1H), 0.67-0.58 (m, 1H), 0.46-0.38 (m, 1H); ¹⁹F NMR (CDCl₃, 282 MHz) δ −117.5.

1-Ethoxycarbonyloxyethyl (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 34)

LCMS: 356.0 [M+H₂O]⁺; ¹H NMR (300 MHz, CDCl₃) δ 7.34-7.27 (m, 1H), 6.73-6.68 (m, 1H), 6.12-5.96 (m, 1H), 4.27-4.23 (m, 2H), 2.22-2.17 (m, 1H), 1.36 (t, J=6.0 Hz, 3H), 1.41-1.31 (m, 1H), 0.67-0.58 (m, 1H), 0.46-0.38 (m, 1H); ¹⁹F NMR (CDCl₃, 282 MHz) δ −117.6, −117.8.

(2-Ethoxy-2-oxo-ethoxy)carbonyloxymethyl (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 35)

LC-MS: 382.8 [M+H]⁺; ¹H NMR (300 MHz, CDCl₃) δ 7.33 (dd, J₁=6.0, J₂=3.0 Hz, 1H), 6.73 (t, J=9.0 Hz, 1H), 5.59 (d, J=3.0 Hz, 1H), 5.53 (d, J=3.0 Hz, 1H), 4.41 (s, 2H), 4.29-4.22 (m, 2H), 2.26-2.21 (m, 1H), 1.38-1.33 (m, 1H), 1.30 (t, J=3.0 Hz, 3H), 0.68-0.63 (m, 1H), 0.49-0.45 (m, 1H); ¹⁹F NMR (CDCl₃, 282 MHz) δ −117.8.

2-Methoxyethoxycarbonyloxymethyl (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 36)

LCMS: 355.0 [M+H]⁺; ¹H NMR (300 MHz, CDCl₃) δ 7.34 (dd, J₁=6.0, J₂=3.0 Hz, 1H), 6.73 (t, J=9.3 Hz, 1H), 5.99 (d, J=6.0 Hz, 1H), 5.89 (d, J=6.0 Hz, 1H), 4.39-4.36 (m, 2H), 3.66-3.64 (m, 2H), 3.39 (s, 3H), 2.03-1.97 (m, 1H), 1.40-1.33 (m, 1H), 0.66-0.60 (m, 1H), 0.47-0.43 (m, 1H); ¹⁹F NMR (CDCl₃, 282 MHz) δ −116.6.

Tetrahydropyran-4-yloxycarbonyloxymethyl (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 37)

LCMS: 759.7 [2M+H]⁺; ¹H NMR (300 MHz, CDCl₃) δ 7.34 (dd, J₁=15.0 Hz, J₂=8.7 Hz, 1H), 6.73 (t, J=8.4 Hz, 1H), 5.99 (d, J=6.0 Hz, 1H), 5.89 (d, J=6.0 Hz, 1H), 4.91-4.86 (m, 1H), 3.98-3.89 (m, 2H), 3.58-3.51 (m, 2H), 2.25-2.19 (m, 1H), 2.03-1.97 (m, 2H), 1.83-1.71 (m, 2H), 1.40-1.33 (m, 1H), 0.68-0.62 (m, 1H), 0.47-0.44 (m, 1H); ¹⁹F NMR (CDCl₃, 282 MHz) δ −117.6.

[(1aR,7b S)-5-Fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carbonyl]oxymethyl (2R)-1-acetylpyrrolidine-2-carboxylate (Compound 38)

LCMS: 392.1 [M+H]⁺; ¹H NMR (300 MHz, CDCl₃) δ 7.14 (t, J=6.0 Hz, 1H), 6.53 (t, J=9.0 Hz, 1H), 5.79 (d, J=3.0 Hz, 1H), 5.69 (d, J=3.0 Hz, 1H), 4.53-4.49 (m, 1H), 3.70-3.60 (m, 1H), 3.58-3.54 (m, 1H), 2.30-2.32 (m, 1H), 2.21-2.01 (m, 4H), 2.12 (s, 3H), 1.30-1.25 (m, 1H), 0.58-0.60 (m, 1H), 0.48-0.42 (m, 1H); ¹⁹F NMR (CDCl₃, 282 MHz) δ −119.3.

Tetrahydropyran-4-carbonyloxymethyl (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 39)

LCMS: 728.0 [2M+H]⁺; ¹H NMR (300 MHz, CDCl₃) δ 7.33 (dd, J₁=6.0, J₂=3.0 Hz, 1H), 6.73 (t, J=Hz, 1H), 5.59 (d, J=6.0 Hz, 1H), 5.53 (d, J=6.0 Hz, 1H), 3.95-3.91 (m, 2H), 3.46-3.37 (m, 2H), 2.64-2.59 (m, 1H), 2.26-2.21 (m, 1H), 1.72-1.60 (m, 4H), 1.38-1.33 (m, 1H), 0.67-0.58 (m, 1H), 0.46-0.38 (m, 1H); ¹⁹F NMR (CDCl₃, 282 MHz) δ −114.6.

2-Acetoxyethoxycarbonyloxymethyl (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 40)

LCMS: 763.90[2M+H]⁺; ¹H NMR (300 MHz, CDCl₃) δ 7.14 (t, J=6.0 Hz, 1H), 6.53 (t, J=9.0 Hz, 1H), 5.79 (d, J=3.0 Hz, 1H), 5.69 (d, J=3.0 Hz, 1H), 4.41 (t, J=3.9 Hz, 1H), 4.32 (t, J=3.9 Hz, 1H), 2.30-2.17 (m, 1H), 1.30-1.25 (m, 1H), 0.58-0.60 (m, 1H), 0.48-0.42 (m, 1H); ¹⁹F NMR (CDCl₃, 282 MHz) δ −116.9.

[2-(Dimethylamino)-2-oxo-ethoxy]carbonyloxymethyl (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 41)

LCMS: 399.05 [M+H₂O]⁺; ¹H NMR (300 MHz, CDCl₃) δ 7.31 (dd, J₁=6.0, J₂=3.0 Hz, 1H), 6.71 (t, J=9.3 Hz, 1H), 6.03 (d, J=12.0 Hz, 1H), 5.94 (d, J=12.0 Hz, 1H), 4.81 (s, 2H), 3.02 (s, 3H), 2.98 (s, 3H), 2.23-2.17 (m, 1H), 1.40-1.33 (m, 1H), 0.66-0.60 (m, 1H), 0.47-0.43 (m, 1H); ¹⁹F NMR (CDCl₃, 282 MHz) δ −118.2.

(2-Acetoxyacetyl)oxymethyl (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 42)

LCMS: 703.90 [2M+H]⁺; ¹H NMR (300 MHz, CDCl₃) δ 7.33 (t, J=6.0 Hz, 1H), 6.72 (t, J=9.0 Hz, 1H), 6.01 (d, J=3.0 Hz, 1H), 5.94 (d, J=3.0 Hz, 1H), 4.70 (s, 1H), 2.21 (s, 3H), 2.23-2.19 (m, 1H), 1.41-1.31 (m, 1H), 0.67-0.58 (m, 1H), 0.46-0.38 (m, 1H). ¹⁹F NMR (CDCl₃, 282 MHz) δ −117.8.

(2-Methoxyacetyl)oxymethyl (1aR,7bS)-5-fluoro-2-hydroxy-1a,7b-dihydro-1H-cyclopropa[c][1,2]benzoxaborinine-4-carboxylate (Compound 43)

LCMS: 647.7 [2M+H]⁺; ¹H NMR (300 MHz, CDCl₃) δ 7.33 (t, J=6.0 Hz, 1H), 6.72 (t, J=9.0 Hz, 1H), 6.04 (d, J=3.0 Hz, 1H), 6.01 (d, J=3.0 Hz, 1H), 4.11 (s, 3H), 3.47 (s, 2H), 2.30-2.17 (m, 1H), 1.35-1.34 (m, 2H), 0.67-0.58 (m, 1H), 0.46-0.38 (m, 1H); ¹⁹F NMR (CDCl₃, 282 MHz) δ −116.9.

Example 26. Potentiation of Aztreonam

The potency and spectrum of β-lactamase inhibitors (BLIs) was determined by assessing their aztreonam potentiation activity in a dose titration potentiation assay using strains of various bacteria that are resistant to aztreonam due to expression of various β-lactamases. Aztreonam is a monobactam antibiotic and is hydrolyzed by the majority of beta-lactamases that belong to class A or C (but not class B or D). The potentiation effect was observed as the ability of BLI compounds to inhibit growth in the presence of sub-inhibitory concentration of aztreonam. MICs of test strains varied from 64 μg/mL to >128 μg/mL. Aztreonam was present in the test medium at 4 μg/mL. Compounds were tested at concentrations up to 40 μg/mL. In this assay, potency of compounds was reported as the minimum concentration of BLI required to inhibit growth of bacteria in the presence of 4 μg/mL of aztreonam (MPC_(@4)). Table 2 summarizes the BLI potency of aztreonam potentiation (MPC_(@4)) for various strains overexpressing class A (ESBL and KPC), and class C beta-lactamases. Aztreonam MIC for each strain is also shown.

TABLE 2 Activity of BLIs to potentiate aztreonam against strains expressing class A and class C enzymes. Table 2. Aztreonam MIC (μg/mL) >128 >128 128 AZT AZT >128 64 AZT >128 >128 MPC4 MPC4 AZT AZT MPC4 AZT 64 AZT CTX-M- CTX-M- MPC4 MPC4 TEM- MPC4 AZT MPC4 14 15 SHV-5 SHV-12 10 KPC-2 MPC4 CMY-6 Compound KP1005 KP1009 ec308 KP1010 ec302 KP1004 ECL1002 EC1010 1 X X X X X X X X 2 X X X X X X X X 3 X X X X X X X X 4 X X X X X X X X 5 X X X X X X Y X 6 Z Z Z Z Z Z Z Z 7 Z Z Z Z Z Y Z Z 8 X X X X X X X X 9 Y Y Y X Y X Y X 10 X X X X X X X X 11 X X X X X X X X 12 X X X X X X X X 13 X X X X X X X X 14 Z Y Y X Y X Y X 15 X X X X X X X X 16 X X X X X X X X 17 X X X X X X X X 18 X X X X X X Y X 19 X X X X X X X X 20 Y Y Y X X X Y Y 21 X X X X X X X X 22 Y Y Y X X X X X 23 X X X X X X X X 24 Y X X X X X X X Tazobactam Y Y Y X X Z Z Y Clavulanic X X X X X Z Z Z Acid X = MPC_(@4) ≦5 μg/mL Y = 5 μg/mL < MPC_(@4) ≦ 20 μg/mL Z = MPC_(@4) >20 μg/mL

Example 27. Potentiation of Tigemonam

Selected β-lactamase inhibitors were also tested for their ability to potentiate the monobactam tigemonam. The potentiation effect was observed as the ability of BLI compounds to inhibit growth in the presence of sub-inhibitory concentration of tigemonam. MICs of test strains varied from 16 μg/mL to >64 μg/mL. Tigemonam was present in the test medium at 4 μg/mL. Compounds were tested at concentrations up to 40 μg/mL. In this assay potency of compounds was reported as the minimum concentration of BLI required to inhibit growth of bacteria in the presence of 4 μg/mL of aztreonam (MPC_(@4)). Table 3 summarizes the BLI potency of tigemonam potentiation (MPC_(@4)) for various strains overexpressing class A (ESBL) and class C beta-lactamases. Tigemonam MIC for each strain is also shown.

TABLE 3 Activity of BLIs to potentiate tigemonam against strains expressing class A and class C enzymes. Table 3. Tigemonam MIC (μg/mL) >64 >64 >64 TIG TIG >64 >64 TIG MPC₄ MPC₄ TIG TIG MPC₄ 16 CTX-M- CTX-M- MPC₄ MPC₄ TEM- 32 TIG MPC4 14 15 SHV-5 SHV-12 10 TIG MPC4 CMY-6 Compound KP1005 KP1009 ec308 KP1010 ec302 ECL1002 EC1010 1 X X X X X X X 2 X X X X X X X 3 X X X X X X X 4 X X X X X X X 5 X X X X X X X 6 Z Z Z Z Z Y Z 7 Z Z Z Z Z Z Z 8 Y X X X Y X X 9 Z Z Z Y Z X X 10 Y X X X X X X 11 Y X X X Y X X 12 X X X X X X X 13 X X X X X X X 14 Z Z Z Y Z X X 15 X X X X Y X X 16 X X X X X X X 17 Y X X X X X X 18 Y Y Y X Y X X 19 X X X X X X X 20 Z Z Z Y Z X X 21 X X X X X X X 22 Y Y Y Y Y X X 23 Y X Y X Z X X 24 Y X X X Y X X Tazobactam Y Y X X X Y X Clavulanic X X X X X Z Z Acid X = MPC_(@4) ≦5 μg/mL Y = 5 μg/mL < MPC_(@4) ≦ 20 μg/mL Z = MPC_(@4) >20 μg/mL

Example 28. Potentiation of Biapenem

β-lactamase inhibitors were also tested for their ability to potentiate the carbapenem biapenem against strains producing class A (KPC) and class D (OXA-48) carbapenemases. The potentiation effect was observed as the ability of BLI compounds to inhibit growth in the presence of a sub-inhibitory concentration of biapenem. Biapenem MIC of test strains were 16-32 μg/mL. Biapenem was present in the test medium at 1 μg/mL. Compounds were tested at concentrations up to 40 μg/mL. In this assay potency of compounds was reported as the minimum concentration of BLI required to inhibit growth of bacteria in the presence of 1 μg/mL of biapenem (MPC_(@1)). Table 4 summarizes the BLI potency of biapenem potentiation (MPC_(@i)) for two strains overexpressing class A (KPC) and class D (OXA-48) carbapenemases. Biapenem MIC for each strain is also shown.

TABLE 4 Activity of BLIs to potentiate biapenem against strains expressing class A (KPC) or class D (OXA-48) carbapenemases. Biapenem MIC (μg/mL) 32 16 16 16 BPM MPC₁ BPM MPC₁ BPM MPC₁ BPM MPC₁ KP1004 OXA-48 KP1081 KP1054 Compound KPC-2 KP1086 NDM-1 VIM-1 1 X X X X 2 X X X Y 3 X X X X 4 X X X X 5 X X X Y 6 Y Z Z Z 7 X Z Y Y 8 X X X X 9 X X Z Z 10 X X X X 11 X X X Y 12 X X X Z 13 X X X X 14 X X X Y 15 X X X Z 16 X X X X 17 X X X X 18 X X X Y 19 X X X X 20 X X Y Y 21 X X X X 22 X X X X 23 X Y X X 24 X X Y Y Tazobactam Z Y Z Z Clavulanic Y Z Z Z Acid X = MPC_(@1) ≦ 5 μg/mL Y = 5 μg/mL < MPC_(@1) ≦ 20 μg/mL Z = MPC_(@1) > 20 μg/mL

Example 29. Potentiation of Meropenem

β-lactamase inhibitors were also tested for their ability to potentiate the carbapenem meropenem against strains of Acinetobacter baumannii producing class D (OXA-23 and OXA-72) carbapenemases. The potentiation effect was observed as the ability of BLI compounds to inhibit growth in the presence of a sub-inhibitory concentration of meropenem. Meropenem MIC of test strains were 32 to >64 μg/mL. Meropenem was present in the test medium at 8 μg/mL. Compounds were tested at concentrations up to 20 μg/mL. In this assay potency of compounds was reported as the minimum concentration of BLI required to inhibit growth of bacteria in the presence of 8 μg/mL of meropenem (MPC_(@8)). Table 5 summarizes the BLI potency of meropenem potentiation (MPC_(@8)) for two strains overexpressing OXA-72 and OXA-23 carbapenemases. Meropenem MIC for each strain is also shown.

TABLE 5 Activity of BLIs to potentiate meropenem against strains expressing class D carbapenemases from Acinetobacter baumannii Meropenem MIC (μg/mL) >64 32 MPM MPC₈ MPM MPC₈ Compound AB1053 OXA-72 AB1054 OXA-23 1 X X 2 X X 3 X X 4 X X 5 X Y 6 Z Z 7 Z Z 8 X X 9 Y Z 10 Y X 11 X X 12 X Y 13 X X 14 Z X 15 Z X 16 Y X 17 Y X 18 Z X 19 Y X 20 Z Y 21 Z X 22 X X 23 Z X 24 Y Y Tazobactam ND ND Clavulanic Acid ND ND X = MPC_(@1) ≦ 5 μg/mL Y = 5 μg/mL < MPC_(@1) ≦ 20 μg/mL Z = MPC_(@1) > 20 μg/mL ND = Not determined.

Example 30. Inhibitory Activity

K_(i) values of inhibition of purified class A, C and D enzymes were determined spectrophotometrically using nitrocefin as reporter substrate. Purified enzymes were mixed with various concentrations of inhibitors in reaction buffer and incubated for 10 min at room temperature. Nitrocefin was added and substrate cleavage profiles were recorded at 490 nm every 10 sec for 10 min. The results of these experiments are presented in Table 6. These experiments confirmed that the described compounds are inhibitors with a broad-spectrum of activity towards various β-lactamases.

TABLE 6 Activity of BLIs (Ki, uM) to inhibit cleavage of nitrocefin by purified class A, C and D enzymes Table 6. Ki Ki Ki Ki Ki Ki (CTX- (SHV- (TEM- Ki Ki (Pa- (OXA- (OXA- (VIM- M-14, 12, 10, (KPC-2, Ki (P99, AmpC, 48, 23, 1, NCF), NCF), NCF), NCF), NCF), NCF), NCF), NCF), NCF), Compd. uM uM uM uM uM uM uM uM uM 1 X ND X X X X X X X 2 X ND X X X X X X Y 3 X ND X X X X X X X 4 X ND X X X X X X Y 5 X ND X X Y Z X X Z 6 Z Y Y X X X X Y Y 7 X Y Y X X X X X X 8 X ND X X X X X X Y 9 ND ND X X X Y X X Z 10 X X X X X X X X X 11 X X X X X X X X Y 12 X X X X X Y X X Z 13 X X X X X X X X X 14 X ND X X X X X X Z 15 X ND X X X X X X Z 16 X ND X X X X X X X 17 X ND X X X X X X X 18 X ND X X Y Y X Y Y 19 X ND X X X X X X X 20 X ND X Y Z Z X Y Z 21 X ND X Y Y Z X X Y 22 X ND X X X X X Z X 23 X ND X X X Y X X Y 24 X ND X X X X X X Z Tazobactam X X X Z Z Y Y Y Z Clavulanic X X X Z Z Z Z Z Z Acid X = K_(i) ≦0.1 μM Y = 0.1 μM < K_(i) ≦ 1 μM Z = K_(i) >1 μM ND = not determined

K_(i) values of inhibition of purified class B enzymes NDM-1 and IMP-1 were determined spectrophotometrically using imipenem as reporter substrate. Purified enzymes were mixed with various concentrations of inhibitors in reaction buffer and incubated for 10 min at room temperature. Imipenem was added and substrate cleavage profiles were recorded at 294 nm every 30 seconds for 30 minutes at 37° C. The results of these experiments are presented in Table 7. These experiments further confirmed that the described compounds have the ability to inhibit carbapenemase activity of metallo-beta-lactamases.

TABLE 7 Activity of BLIs (Ki, uM) to inhibit cleavage of imipenem by purified class B NDM-1 and IMP-1 enzymes Compd. Ki (NDM-1, IMI), uM Ki (IMP-1, IMI), uM 1 X X 2 Y Z 3 X X 4 Y Z 5 Y Z 6 Z Z 7 X X 8 ND Z 9 Z Z 10 X Y 11 X Y 12 Y Z 13 X Y 14 X Z 15 Y Z 16 X X 17 X X 18 X Z 19 Y Z 20 Z ND 21 Y ND 22 X X 23 X Z 24 Y Z Tazobactam Z Z Clavulanic Acid Z Z X = K_(i) ≦ 0.1 μM Y = 0.1 μM < K_(i) ≦ 1 μM Z = K_(i) > 1 μM

Example 31. MexAB-OprM Dependent Efflux of BLIs

Efflux of BLIs from Pseudomonas aeruginosa by the MexAB-OprM efflux pump was also evaluated. The plasmid expressing the gene encoding KPC-2 was introduced into two strains of P. aeruginosa, PAM1032 and PAM1154 that overexpressed or lacked MexAB-OprM, respectively. Due to expression of KPC-2 both strains became resistant to biapenem. Biapenem is not affected by efflux in P. aeruginosa and both strains had the same biapenem MIC of 32 μg/ml. Potency of BLIs to potentiate biapenem in these strains was determined. Potency was defined as the ability of BLI to decrease MIC of biapenem 64-fold, from 32 μg/ml to 0.5 μg/ml, or MPC₆₄. The ratio of MPC₆₄ values for each BLI in PAM1032/KPC-2 (efflux proficient) and PAM1154/KPC-2 (efflux deficient) was determined to generate the Efflux Index (EI) as shown in Table 8.

TABLE 8 MexAB-OprM Dependent Efflux of BLIs from P. aeruginosa PAM1032/ PAM1154/ KPC-2 KPC-2 Biapenem Biapenem Compound MPC64 MPC64 EI 1 2.5 1.25 2 2 2.5 1.25 2 3 5 2.5 2 4 2.5 2.5 1 5 20 10 2 6 ND ND ND 7 ND ND ND 8 2.5 2.5 1 9 >10 1.25 >8 10 ND ND ND 11 ND ND ND 12 2.5 1.25 2 13 2.5 2.5 1 14 40 1.25 32 15 5 1.25 4 16 1.25 0.3 4 17 20 5 4 18 5 0.3 16 19 5 1.25 4 20 5 5 1 21 1.25 1.25 1 22 20 10 2 23 20 20 1 24 ND ND ND ND = not determined

These experiments demonstrated that the described compounds are effected by the MexAB-OprM efflux pump from P. aeruginosa to various degrees and that it was possible to overcome the MexAB-OprM mediated efflux.

Example 32: Stability of Compound 13 Prodrugs in Human Serum

The rate of hydrolysis for several prodrugs of 13 was evaluated in vitro by measuring their stability in human serum and human liver microsomes.

All serum stability experiments were conducted by aliquoting 10 μL of test compound at 500 μg/mL (10× final concentration) in 95:5 water:acetonitrile v/v into 1.5 mL Eppendorf tubes. Each tube was assigned to a specific timepoint: 0, 5, 10 or 30 minutes. The tubes were then warmed to 37° C. in a water bath along with human serum (Bioreclamations) in a separate tube. Serum esterase activity for each lot of serum used was established by assaying an unrelated ester prodrug as a control. To initiate the reaction, 90 μL of serum was added to tubes for all timepoints using a repeating-tip pipette, thereby bringing the final concentration of test compound to 50 μg/mL and the final concentration of acetonitrile to 0.5% v/v. At each timepoint, the reaction was halted and serum proteins precipitated through the addition of an equal volume of cold acetonitrile containing 25 μg/mL diclofenac as an internal standard. The mixture was vortexed then centrifuged for 5 minutes at 15,000 rpm. 50 μL of supernatant was then combined with 100 μL of water in an amber-glass HPLC vial containing a glass insert, and 10.0 μL of this mixture was injected on HPLC.

Sample analysis for serum stability experiments was conducted using an Agilent 1100 binary pump HPLC equipped with a diode array detector set to monitor absorbance at 286 nm (8 nm bandwidth). Separation was achieved on a Waters XBridge BEH Shield 2.1×50 mm column with 5 μm particles and a Phenomenex Gemini guard column, using a flow rate of 400 μL/min with 0.1% trifluoroacetic acid in water for mobile phase A and 0.1% trifluoroacetic acid in methanol for mobile phase B. Initial conditions were 80% mobile phase A, 20% mobile phase B with a 6% per minute gradient to 80% B at 10 minutes, followed by re-equilibration at initial conditions. The samples were analyzed together with appropriate blanks in order to ensure specificity.

Chromatograms were checked for the appearance of active drug (compound 13) to ensure the test compound was converted to active. The rate of activation was determined by monitoring the concentration of test compound as follows. The peak area for the analyte was divided by the peak area for the internal standard to give an area ratio. The area ratio for each timepoint was divided by the area ratio for timepoint 0 to give the percent remaining at each timepoint. The natural logarithm of the percent remaining versus time was plotted using Microsoft Excel and fitted to a linear trendline. The half-life for each test compound was estimated by dividing the natural logarithm of 2 by the slope of the trendline. The percent remaining for each test compound and the calculated half-life is presented in Table 9 below.

TABLE 9 Rate of activation of compound 13 prodrugs in human serum at a prodrug concentration of 50.0 μg/mL Estimated % of % of % of % of half-life initial initial initial initial (minutes) area area area area (rounded Compound ratio ratio ratio ratio to nearest # at t = at t = at t = at t = integer 0 min 5 min 10 min 30 min value) 32 100 86.8 77.2 38.7 21 33 100 48.4 15.4 0 4 39 100 69.3 59.4 41.1 26 42 100 29.1 8.1 0 3 43 100 58.6 34.5 2.9 6

Example 33: Stability of Compound 13 Prodrugs in Human Liver Microsomes (HLM)

All microsome stability experiments were conducted by diluting test compound to 2.00 μM (2× final concentration) in 50 mM pH 7.4 potassium phosphate buffer containing 3.3 mM MgCl₂. 50 μL of this solution was then aliquoted into 1.5 mL Eppendorf tubes, two per timepoint for four specific timepoints: 0, 5, 10 and 30 minutes. In the meantime, a 20.0 mg/mL solution of human liver microsomes (XenoTech, LLC) was diluted to 1.00 mg/mL (2× final concentration). Esterase activity for each lot of microsomes used was established by assaying an unrelated ester prodrug as a control. Both the Eppendorfs for each timepoint and the diluted liver microsomes were then warmed to 37° C. in a water bath. No cofactors (e.g. NADPH) were added to ensure that only hydrolytic reactions as opposed to reactions mediated by other cofactor-dependent enzymes (e.g. CYP450 enzymes) would take place.

To initiate the reaction, 50 μL of diluted human liver microsomes was added to tubes for all timepoints using a repeating-tip pipette, thereby bringing the final concentration of test compound to 1.00 μM and the final concentration of human liver microsomes to 0.500 mg/mL. At each timepoint, the reaction was halted and proteins precipitated through the addition of 200 μL of 10:45:45 water:methanol:acetonitrile v/v/v containing an unrelated ester prodrug at 250 ng/mL as an internal standard. The resulting mixture was vortexed and centrifuged for 5 minutes at 15,000 rpm, then 100 μL of supernatant was transferred to a 96-well plate and combined with 500 μL of water preparatory to analysis on LC-MS.

Sample analysis for microsome stability experiments was conducted using a 20.0 μL injection on a LEAP PAL autosampler with Agilent 1100 binary pump HPLC coupled to an AB Sciex 3200 QTrap mass spectrometer. Separation was achieved on a Waters)(Bridge BEH Shield 2.1×50 mm column with 5 μm particles and a Phenomenex Gemini guard column, using a flow rate of 400 μL/min with 0.1% formic acid in water for mobile phase A and 0.1% formic acid in acetonitrile for mobile phase B. The gradient was adjusted as needed to give the desired resolution and run time. Detection was in positive mode; source parameters and parent-daughter ion selection criteria were chosen as needed for each compound to achieve an appropriate limit of detection and signal-to-noise ratio. The samples were analyzed together with appropriate blanks in order to ensure specificity.

The rate of hydrolysis for each prodrug was determined by monitoring the concentration of test compound as follows. The peak area for the analyte was divided by the peak area for the internal standard to give an area ratio. The area ratio for each of the two replicates at each timepoint was divided by the area ratio for timepoint 0 to give the percent remaining at each timepoint. The natural logarithm of the percent remaining versus time for all replicates was plotted using Microsoft Excel and fitted to a linear trendline. The half-life for each test compound was estimated by dividing the natural logarithm of 2 by the slope of the trendline. The percent remaining for each test compound and the calculated half-life is presented in Table 10 below.

TABLE 10 Rate of activation of compound 13 prodrugs in 0.500 mg/mL human liver microsomes at a prodrug concentration of 1.00 μM Average Average Average Average Estimated % of % of % of % of half-life initial initial initial initial (minutes) area area area area (rounded ratio ratio ratio ratio to nearest Compound at t = at t = at t = at t = integer # 0 min 5 min 10 min 30 min value) 26 100 73.4 55.9 11.9 10 27 100 91.4 80.4 25.0 14 28 100 50.8 23.3 19.6 15 42 100 27.1 10.3 0.4 4 43 100 64.4 44.6 0.6 4 

1. A compound having the structure of the Formula I or II, or pharmaceutically acceptable salts thereof:

wherein Y¹ is N or CR⁴; m is an integer of 0 or 1; (a) R² and R³ together with the atoms to which they are attached form a fused ring or ring system selected from the group consisting of C₃₋₇carbocyclyl, 3-10 membered heterocyclyl, C₆₋₁₀ aryl, and 5-10 membered heteroaryl, each optionally substituted with one or more R⁵, and each of R¹, R⁴, R^(a), and R^(b) is independently selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀ alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d); or (b) R³ and R⁴ together with the atoms to which they are attached form a spirocyclic ring or ring system selected from the group consisting of C₃₋₇carbocyclyl and 3-10 membered heterocyclyl, each optionally substituted with one or more R⁵, and each of R¹, R², R^(a), and R^(b) is independently selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d); or (c) R¹ and R² together with the atoms to which they are attached form a spirocyclic ring or ring system selected from the group consisting of C₃₋₇carbocyclyl and 3-10 membered heterocyclyl, each optionally substituted with one or more R⁵, and each of R³, R⁴, R^(a), and R^(b) is independently selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d); or (d) R^(a) and R^(b) together with the atoms to which they are attached form a spirocyclic ring or ring system selected from the group consisting of C₃₋₇ carbocyclyl and 3-10 membered heterocyclyl, each optionally substituted with one or more R⁵, and each of R¹, R², R³, and R⁴ is independently selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d); or (e) R^(a) and R⁴ together with the atoms to which they are attached form a fused ring or ring system selected from the group consisting of C₃₋₇ carbocyclyl, 3-10 membered heterocyclyl, C₆₋₁₀ aryl, and 5-10 membered heteroaryl, each optionally substituted with one or more R⁵, and each of R¹, R², R³, and R^(b) is independently selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d); R⁵ is —Y⁵—(CH₂)_(t)G; t is an integer of 0 or 1; G is selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f) S(O)₂NR^(f)OR^(d); A is selected from the group consisting of C₃₋₇ carbocyclyl, 3-10 membered heterocyclyl, C₆₋₁₀aryl, and 5-10 membered heteroaryl, each optionally substituted by one or more R¹²; R⁶ is selected from the group consisting of H, halogen, optionally substituted C₁₋₆ alkyl, OH, —C(O)OR, optionally substituted C₁₋₆ alkoxy, amino, —N(OR⁸)R⁹, optionally substituted C₁₋₆ alkylthiol, C-amido, S-sulfonamido, CN, sulfinyl, sulfonyl, and a carboxylic acid isostere; R is selected from the group consisting of H, C₁₋₉ alkyl, —CR¹⁰R¹¹OC(O)C₁₋₉alkyl, —CR¹⁰R¹¹OC(O)C₃₋₇carbocyclyl, —CR¹⁰R¹¹OC(O)(3 to 7 membered heterocyclyl), —CR¹⁰R¹¹OC(O)C₂₋₈alkoxyalkyl, —CR¹⁰R¹¹OC(O)OC₁₋₉alkyl, —CR¹⁰R¹¹OC(O)OC₃₋₇carbocyclyl, —CR¹⁰R¹¹OC(O)O(3 to 7 membered heterocyclyl), —CR¹⁰R¹¹OC(O)OC₂₋₈alkoxyalkyl, —CR¹⁰R¹¹OC(O)C₆₋₁₀aryl, —CR¹⁰R¹¹OC(O)OC₆₋₁₀aryl, —CR¹⁰R¹¹C(O)NR¹³R¹⁴, —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)NR¹³R¹⁴, —CR¹⁰R¹¹OC(O)O(CH₂)₂₋₃OC(O)C₁₋₄ alkyl, —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)OC₁₋₄ alkyl, —CR¹⁰R¹¹OC(O)(CH₂)₁₋₃OC(O)C₁₋₄ alkyl, and

R⁷ is selected from the group consisting of —OH, optionally substituted C₁₋₆ alkoxy, amino, and N(OR⁸)R⁹; each R⁸ and R⁹ is independently selected from the group consisting of H, halogen, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; each R¹⁰ and R¹¹ is independently selected from the group consisting of H, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; R¹² is selected from the group consisting of hydrogen, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, sulfhydryl, —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), —NR^(f)S(O)₂NR^(f)OR^(d), and —(CH₂)_(p)—Y⁶—(CH₂)_(q)K; each R¹³ and R¹⁴ is independently selected from the group consisting of H, optionally substituted C₁₋₆alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; R¹⁵ is optionally substituted C₁₋₆ alkyl; Y² is selected from the group consisting of —O—, —S—, and —NR⁹—; Y³ is selected from the group consisting of —OH, —SH, and —NHR⁹; Y⁴ is selected from the group consisting of —OH, optionally substituted C₁₋₆ alkoxy, amino, and —N(OR⁸)R⁹; and Y⁵ is selected from the group consisting of —S—, —S(O)—, —S(O)₂—, —O—, —CR^(f)R^(g)—, and —NR^(g)—, or Y⁵ is absent; Y⁶ is selected from the group consisting of —S—, —S(O)—, —S(O)₂—, —O—, —CR^(f)R^(g)—, and —NR^(f)—, K is selected from the group consisting of C-amido; N-amido; S-sulfonamido; N-sulfonamido; —NR^(f)C(O)NR^(f)R^(g); —NR^(f) S(O)₂NR^(f)R^(g); —C(═NR^(e))R^(c); —C(═NR^(e))NR^(f)R^(g); —NR^(f)CR^(c)(═NR^(e)); —NR^(f)C(═NR^(e))NR^(f)R^(g); C₁₋₄ alkyl optionally substituted with 0-2 substituents selected from the group consisting of C₁₋₄ alkoxy, amino, halogen, C-amido, and N-amido; C₆₋₁₀ aryl optionally substituted with 0-2 substituents selected from the group consisting of C₁₋₄ alkyl, C₁₋₄ alkoxy, amino, halogen, C-amido, and N-amido; C₃₋₇ carbocyclyl optionally substituted with 0-2 substituents selected from the group consisting of C₁₋₄ alkyl, C₁₋₄ alkoxy, amino, halogen, C-amido, and N-amido; 5-10 membered heteroaryl optionally substituted with 0-2 substituents selected from the group consisting of C₁₋₄ alkyl, C₁₋₄ alkoxy, amino, halogen, C-amido, and N-amido; and 3-10 membered heterocyclyl optionally substituted with 0-2 substituents selected from the group consisting of C₁₋₄ alkyl, C₁₋₄alkoxy, amino, halogen, C-amido, and N-amido; each R^(c), R^(d), R^(e), R^(f), and R^(g) are independently selected from the group consisting of H, halogen, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; and each p and q is independently 0 or
 1. 2. The compound of claim 1, wherein R is selected from the group consisting of H, C₁₋₉ alkyl, —CR¹⁰R¹¹OC(O)C₁₋₉alkyl, —CR¹⁰R¹¹OC(O)OC₁₋₉alkyl, —CR¹⁰R¹¹OC(O)C₆₋₁₀aryl, —CR¹⁰R¹¹OC(O)OC₆₋₁₀aryl and


3. The compound of claim 1, wherein R is —CR¹⁰R¹¹OC(O)C₁₋₉alkyl, —CR¹⁰R¹¹OC(O)C₃₋₇carbocyclyl, —CR¹⁰R¹¹OC(O)(3 to 7 membered heterocyclyl), or —CR¹⁰R¹¹OC(O)C₂₋₈alkoxyalkyl.
 4. The compound of claim 3, wherein the 3 to 7 membered heterocyclyl of R is


5. The compound of claim 1, wherein R is —CR¹⁰R¹¹OC(O)OC₁₋₉alkyl, —CR¹⁰R¹¹OC(O)OC₃₋₇carbocyclyl, —CR¹⁰R¹¹OC(O)O(3 to 7 membered heterocyclyl), or —CR¹⁰R¹¹OC(O)OC₂₋₈alkoxyalkyl.
 6. The compound of claim 5, wherein the 3 to 7 membered heterocyclyl of R is


7. The compound of claim 1, wherein R is —CR¹⁰R¹¹C(O)NR¹³R¹⁴.
 8. The compound of claim 1, wherein R is —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)NR¹³R¹⁴, —CR¹⁰R¹¹OC(O)O(CH₂)₂₋₃OC(O)C₁₋₄ alkyl, —CR¹⁰R¹¹OC(O)(CH₂)₁₋₃OC(O)C₁₋₄ alkyl, or —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)OC₁₋₄ alkyl.
 9. (canceled)
 10. The compound of claim 1, having the structure of Formula Ia or IIa, or pharmaceutically acceptable salts thereof:


11. The compound of claim 10, having the structure of Formula Ib or IIb, or pharmaceutically acceptable salts thereof:

wherein each J, L, M is independently CR¹² or N (nitrogen).
 12. The compound of claim 11, having the structure of Formula Ic or IIc, or pharmaceutically acceptable salts thereof:


13. The compound of claim 11, wherein each J, L and M is CR¹².
 14. The compound of claim 13, wherein R¹² is hydrogen, halogen, C₁₋₆ alkoxy, or C₁₋₆ haloalkoxy.
 15. The compound of claim 11, wherein at least one of J, L and M is N.
 16. The compound of claim 15, wherein M is N.
 17. The compound of claim 1, wherein R² and R³ together with the atoms to which they are attached form a ring or ring system selected from the group consisting of C₃₋₇ carbocyclyl, 3-10 membered heterocyclyl, C₆₋₁₀ aryl, and 5-10 membered heteroaryl, each optionally substituted with one or more R⁵.
 18. The compound of claim 17, wherein R² and R³ together with the atoms to which they are attached form C₃₋₇ carbocyclyl optionally substituted with one or more R⁵.
 19. (canceled)
 20. The compound of claim 18, having the structure of Formula Id or IId, or pharmaceutically acceptable salts thereof:

wherein the cyclopropyl moiety

is optionally substituted with one or more R⁵.
 21. The compound of claim 20, having the structure of Formula Id-1, Id-2, IId-1 or IId-2, or pharmaceutically acceptable salts thereof:


22. The compound of claim 1, wherein R¹ is hydrogen or C₁₋₆hydroxyalkyl.
 23. The compound of claim 1, wherein R⁴ is hydrogen.
 24. (canceled)
 25. The compound of claim 1, wherein R³ and R⁴ together with the atoms to which they are attached form C₃₋₇carbocyclyl, optionally substituted with one or more R⁵.
 26. (canceled)
 27. (canceled)
 28. (canceled)
 29. The compound of claim 1, wherein R⁶ is —C(O)OR.
 30. The compound of claim 29, wherein R is H.
 31. The compound of claim 1, wherein R⁷ is —OH.
 32. The compound of claim 1, wherein Y² is —O—.
 33. The compound of claim 1, wherein Y³ is —OH.
 34. The compound of claim 1, wherein Y⁴ is —OH.
 35. The compound of claim 1, wherein Y⁵ is absent and t is 0, and R⁵ is selected from the group consisting of amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkoxy, acyl, C-carboxy, C-amido, N-amido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(e), and —NR^(f)S(O)₂NR^(f)OR^(d).
 36. The compound of claim 1, selected from the group consisting of

or pharmaceutically acceptable salts thereof.
 37. A compound having the structure of the Formula III or IV, or pharmaceutically acceptable salts thereof:

wherein (a) each of R² and R³ is independently selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R_(c), and —NR^(f)S(O)₂NR^(f)OR^(d), or R² and R³ together with the atoms to which they are attached form a fused ring or ring system selected from the group consisting of C₃₋₇carbocyclyl, 3-10 membered heterocyclyl, C₆₋₁₀ aryl, and 5-10 membered heteroaryl, each optionally substituted with one or more R⁵; m is an integer of 0 or 1; and each R^(a) and R^(b) is independently selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d), or R^(a) and R^(b) together with the atoms to which they are attached form a ring or ring system selected from the group consisting of C₃₋₇carbocyclyl and 3-10 membered heterocyclyl, each optionally substituted with one or more R⁵; or (b) m is 1; R^(a) and R³ together with the atoms to which they are attached form a ring or ring system selected from the group consisting of C₃₋₇carbocyclyl and 3-10 membered heterocyclyl, each optionally substituted with one or more R⁵; and each R² and R^(b) is independently selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d); R⁵ is —Y⁵—(CH₂)_(t)G; t is an integer of 0 or 1; G is selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f) S(O)₂NR^(f)OR^(d); A is a ring system selected from the group consisting of C₃₋₇ carbocyclyl, 3-10 membered heterocyclyl, C₆₋₁₀aryl, and 5-10 membered heteroaryl, each optionally substituted with one or more R¹²; R⁶ is selected from the group consisting of H, halogen, optionally substituted C₁₋₆ alkyl, OH, —C(O)OR, optionally substituted C₁₋₆ alkoxy, amino, —N(OR⁸)R⁹, optionally substituted C₁₋₆ alkylthiol, C-amido, S-sulfonamido, CN, sulfinyl, sulfonyl, and a carboxylic acid isostere; R is selected from the group consisting of H, C₁₋₉ alkyl, —CR¹⁰R¹¹OC(O)C₁₋₉alkyl, —CR¹⁰R¹¹OC(O)C₃₋₇carbocyclyl, —CR¹⁰R¹¹OC(O)(3 to 7 membered heterocyclyl), —CR¹⁰R¹¹OC(O)C₂₋₈alkoxyalkyl, —CR¹⁰R¹¹OC(O)OC₁₋₉alkyl, —CR¹⁰R¹¹OC(O)OC₃₋₇carbocyclyl, —CR¹⁰R¹¹OC(O)O(3 to 7 membered heterocyclyl), —CR¹⁰R¹¹OC(O)OC₂₋₈alkoxyalkyl, —CR¹⁰R¹¹OC(O)C₆₋₁₀aryl, —CR¹⁰R¹¹OC(O)OC₆₋₁₀aryl, —CR¹⁰R¹¹C(O)NR¹³R¹⁴, —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)NR¹³R¹⁴, —CR¹⁰R¹¹OC(O)O(CH₂)₂₋₃ OC(O)C₁₋₄ alkyl, —CR¹⁹R¹¹OC(O)O(CH₂)₁₋₃C(O)OC₁₋₄ alkyl, —CR¹⁹R¹¹OC(O)(CH₂)₁₋₃OC(O)C₁₋₄ alkyl, and

R⁷ is selected from the group consisting of —OH, optionally substituted C₁₋₆ alkoxy, amino, and —N(OR⁸)R⁹; each R⁸ and R⁹ is independently selected from the group consisting of H, halogen, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; each R¹⁰ and R¹¹ is independently selected from the group consisting of H, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; R¹² is selected from the group consisting of hydrogen, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally substituted C₁₋₆ alkylthiol, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, sulfhydryl, —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), —NR^(f)S(O)₂NR^(f)OR^(d), and —(CH₂)_(p)—Y⁶—(CH₂)_(q)K; each R¹³ and R¹⁴ is independently selected from the group consisting of H, optionally substituted C₁₋₆alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; R¹⁵ is optionally substituted C₁₋₆ alkyl; Y² is selected from the group consisting of —O—, —S—, and —NR⁹—; Y³ is selected from the group consisting of —OH, —SH, and —NHR⁹; Y⁴ is selected from the group consisting of —OH, optionally substituted C₁₋₆ alkoxy, amino, and —N(OR⁸)R⁹; Y⁵ is selected from the group consisting of —S—, —S(O)—, —S(O)₂—, —O—, —CR^(f)R^(g)—, and —NR^(g)—, or Y⁵ is absent; Y⁶ is selected from the group consisting of —S—, —S(O)—, —S(O)₂—, —O—, —CR^(f)R^(g)—, and —NR^(f)—; K is selected from the group consisting of C-amido; N-amido; S-sulfonamido; N-sulfonamido; —NR^(f)C(O)NR^(f)R^(g); —NR^(f) S(O)₂NR^(f)R^(g); —C(═NR^(e))R^(c); —C(═NR^(e))NR^(f)R^(g); —NR^(f)CR^(c)(═NR^(e)); —NR^(f)C(═NR^(e))NR^(f)R^(g); C₁₋₄ alkyl optionally substituted with 0-2 substituents selected from the group consisting of C₁₋₄ alkoxy, amino, halogen, C-amido, and N-amido; C₆₋₁₀ aryl optionally substituted with 0-2 substituents selected from the group consisting of C₁₋₄ alkyl, C₁₋₄ alkoxy, amino, halogen, C-amido, and N-amido; C₃₋₇ carbocyclyl optionally substituted with 0-2 substituents selected from the group consisting of C₁₋₄ alkyl, C₁₋₄ alkoxy, amino, halogen, C-amido, and N-amido; 5-10 membered heteroaryl optionally substituted with 0-2 substituents selected from the group consisting of C₁₋₄ alkyl, C₁₋₄ alkoxy, amino, halogen, C-amido, and N-amido; and 3-10 membered heterocyclyl optionally substituted with 0-2 substituents selected from the group consisting of C₁₋₄ alkyl, C₁₋₄ alkoxy, amino, halogen, C-amido, and N-amido; each R^(c), R^(d), R^(e), R^(f), and R^(g) are independently selected from the group consisting of H, halogen, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; and each p and q is independently 0 or
 1. 38-51. (canceled)
 52. A compound having the structure of Formula V, or pharmaceutically acceptable salts thereof:

wherein Y¹ is N or CR⁴; m is an integer of 0 or 1; r is an integer of 0 or 1; (a) R² and R³ together with the atoms to which they are attached form a fused ring or ring system selected from the group consisting of C₃₋₇carbocyclyl, 3-10 membered heterocyclyl, C₆₋₁₀ aryl, and 5-10 membered heteroaryl, each optionally substituted with one or more R⁵, and each of R¹, R⁴, R^(a), and R^(b) is independently selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d); or (b) R³ and R⁴ together with the atoms to which they are attached form a spirocyclic ring or ring system selected from the group consisting of C₃₋₇carbocyclyl, and 3-10 membered heterocyclyl, each optionally substituted with one or more R⁵, and each of R¹, R², R^(a), and R^(b) is independently selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d); or (c) R¹ and R² together with the atoms to which they are attached form a spirocyclic ring or ring system selected from the group consisting of C₃₋₇carbocyclyl, and 3-10 membered heterocyclyl, each optionally substituted with one or more R⁵, and each of R³, R⁴, R^(a), and R^(b) is independently selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d); or (d) R^(a) and R^(b) together with the atoms to which they are attached form a spirocyclic ring or ring system selected from the group consisting of C₃₋₇ carbocyclyl, and 3-10 membered heterocyclyl, each optionally substituted with one or more R⁵, and each of R¹, R², R³, and R⁴ is independently selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d); or (e) R^(a) and R⁴ together with the atoms to which they are attached form a fused ring or ring system selected from the group consisting of C₃₋₇ carbocyclyl, 3-10 membered heterocyclyl, C₆₋₁₀ aryl, and 5-10 membered heteroaryl, each optionally substituted with one or more R⁵, and each of R¹, R², R³, and R⁴ is independently selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d); R⁵ is —Y⁵—(CH₂)_(t)G; t is an integer of 0 or 1; G is selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f) S(O)₂NR^(f)OR^(d); R⁶ is selected from the group consisting of optionally substituted —(CH₂)nC(O)OR and a carboxylic acid isostere; n is an integer selected from 0 to 6; R is selected from the group consisting of H, C₁₋₉ alkyl, —CR¹⁰R¹¹OC(O)C₁₋₉alkyl, —CR¹⁰R¹¹OC(O)C₃₋₇carbocyclyl, —CR¹⁰R¹¹OC(O)(3 to 7 membered heterocyclyl), —CR¹⁰R¹¹OC(O)C₂₋₈alkoxyalkyl, —CR¹⁰R¹¹OC(O)OC₁₋₉alkyl, —CR¹⁰R¹¹OC(O)OC₃₋₇carbocyclyl, —CR¹⁰R¹¹OC(O)O(3 to 7 membered heterocyclyl), —CR¹⁰R¹¹OC(O)OC₂₋₈alkoxyalkyl, —CR¹⁰R¹¹OC(O)C₆₋₁₀aryl, —CR¹⁰R¹¹OC(O)OC₆₋₁₀aryl, —CR¹⁰R¹¹C(O)NR¹³R¹⁴, —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)NR¹³R¹⁴, —CR¹⁰R¹¹OC(O)O(CH₂)₂₋₃OC(O)C₁₋₄ alkyl, —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)OC₁₋₄ alkyl, —CR¹⁰R¹¹OC(O)(CH₂)₁₋₃OC(O)C₁₋₄ alkyl, and

R⁷ is selected from the group consisting of —OH, optionally substituted C₁₋₆ alkoxy, amino, and —N(OR⁸)R⁹; each R⁸ and R⁹ is independently selected from the group consisting of H, halogen, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; each R¹⁰ and R¹¹ is independently selected from the group consisting of H, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; each R¹³ and R¹⁴ is independently selected from the group consisting of H, optionally substituted C₁₋₆alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; R¹⁵ is optionally substituted C₁₋₆ alkyl; Y² is selected from the group consisting of —O—, —S—, and —NR⁹—; Y⁵ is selected from the group consisting of —S—, —S(O)—, —S(O)₂—, —O—, —CR^(f)R^(g)—, and —NR^(g)—, or Y⁵ is absent; each R^(c), R^(d), R^(e), R^(f), and R^(g) are independently selected from the group consisting of H, halogen, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; and each R^(h) and R¹ is independently selected from the group consisting of H, halogen, cyano, amino, C-amido, N-amido, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; or R^(h) and R^(i) together with the atoms to which they are attached form a spirocyclic ring or ring system selected from the group consisting of C₃₋₇ carbocyclyl, 3-10 membered heterocyclyl, C₆₋₁₀ aryl, and 5-10 membered heteroaryl, each optionally substituted with one or more R⁵. 53-65. (canceled)
 66. A compound having the structure of Formula VI, or pharmaceutically acceptable salts thereof:

wherein r is an integer of 0 or 1; (a) each of R² and R³ is independently selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d), or R² and R³ together with the atoms to which they are attached form a fused ring or ring system selected from the group consisting of C₃₋₇carbocyclyl and 3-10 membered heterocyclyl, each optionally substituted with one or more R⁵; m is an integer of 0 or 1; each R^(a) and R^(b) is independently selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d), or R^(a) and R^(b) together with the atoms to which they are attached form a ring or ring system selected from the group consisting of C₃₋₇carbocyclyl, and 3-10 membered heterocyclyl, each optionally substituted with one or more R⁵; or (b) m is 1; R^(a) and R³ together with the atoms to which they are attached form a ring or ring system selected from the group consisting of C₃₋₇carbocyclyl, and 3-10 membered heterocyclyl, each optionally substituted with one or more R⁵; and each R² and R^(b) is independently selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R^(c), and —NR^(f)S(O)₂NR^(f)OR^(d); R⁵ is —Y⁵—(CH₂)_(t)G; t is an integer of 0 or 1; G is selected from the group consisting of H, amino, halogen, cyano, hydroxy, optionally substituted C₁₋₆ alkyl, optionally substituted C₁₋₆ haloalkyl, optionally substituted C₁₋₆ alkoxy, optionally substituted C₁₋₆ haloalkoxy, optionally substituted (C₁₋₆ alkoxy)C₁₋₆ alkyl, optionally substituted C₂₋₁₀alkenyl, optionally substituted C₂₋₁₀alkynyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, optionally substituted 5-10 membered heteroaryl, optionally substituted (C₃₋₇carbocyclyl)C₁₋₆alkyl, optionally substituted (3-10 membered heterocyclyl)C₁₋₆alkyl, optionally substituted (C₆₋₁₀aryl)C₁₋₆alkyl, (C₆₋₁₀aryl)C₁₋₆alkoxy, optionally substituted (5-10 membered heteroaryl)C₁₋₆alkyl, acyl, C-carboxy, O-carboxy, C-amido, N-amido, S-sulfonamido, N-sulfonamido, —SR^(c), —C(O)(CH₂)₀₋₃SR^(c), —C(O)(CH₂)₁₋₃R^(d), —NR^(f)C(O)NR^(f)R^(g), —NR^(f)S(O)₂NR^(f)R^(g), —C(═NR^(e))R^(c), —C(═NR^(e))NR^(f)R^(g), —NR^(f)CR^(c)(═NR^(e)), —NR^(f)C(═NR^(e))NR^(f)R^(g), —S(O)(CH₂)₁₋₃R⁶, and —NR^(f) S(O)₂NR^(f)OR^(d); R⁶ is selected from the group consisting of optionally substituted —(CH₂)nC(O)OR and a carboxylic acid isostere; n is an integer selected from 0 to 6; R is selected from the group consisting of H, C₁₋₉ alkyl, —CR¹⁰R¹¹OC(O)C₁₋₉alkyl, —CR¹⁰R¹¹OC(O)C₃₋₇carbocyclyl, —CR¹⁰R¹¹OC(O)(3 to 7 membered heterocyclyl), —CR¹⁰R¹¹OC(O)C₂₋₈alkoxyalkyl, —CR¹⁰R¹¹OC(O)OC₁₋₉alkyl, —CR¹⁰R¹¹OC(O)OC₃₋₇carbocyclyl, —CR¹⁰R¹¹OC(O)O(3 to 7 membered heterocyclyl), —CR¹⁰R¹¹OC(O)OC₂₋₈alkoxyalkyl, —CR¹⁰R¹¹OC(O)C₆₋₁₀aryl, —CR¹⁰R¹¹OC(O)OC₆₋₁₀aryl, —CR¹⁰R¹¹C(O)NR¹³R¹⁴, —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)NR¹³R¹⁴, —CR¹⁰R¹¹OC(O)O(CH₂)₂₋₃OC(O)C₁₋₄ alkyl, —CR¹⁰R¹¹OC(O)O(CH₂)₁₋₃C(O)OC₁₋₄ alkyl, —CR¹⁰R¹¹OC(O)(CH₂)₁₋₃OC(O)C₁₋₄ alkyl, and

R⁷ is selected from the group consisting of —OH, optionally substituted C₁₋₆ alkoxy, amino, and N(OR⁸)R⁹; each R⁸ and R⁹ is independently selected from the group consisting of H, halogen, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; each R¹⁰ and R¹¹ is independently selected from the group consisting of H, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; each R¹³ and R¹⁴ is independently selected from the group consisting of H, optionally substituted C₁₋₆alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; R¹⁵ is optionally substituted C₁₋₆ alkyl; Y² is selected from the group consisting of —O—, —S—, and —NR⁹—; Y⁵ is selected from the group consisting of —S—, —S(O)—, —S(O)₂—, —O—, —CR^(f)R^(g)—, and —NR^(g)—, or Y⁵ is absent; each R^(c), R^(d), R^(e), R^(f), and R^(g) are independently selected from the group consisting of H, halogen, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; and each R^(h) and R¹ is independently selected from the group consisting of H, halogen, cyano, amino, C-amido, N-amido, optionally substituted C₁₋₄alkyl, optionally substituted C₃₋₇ carbocyclyl, optionally substituted 3-10 membered heterocyclyl, optionally substituted C₆₋₁₀aryl, and optionally substituted 5-10 membered heteroaryl; or R^(h) and R^(i) together with the atoms to which they are attached form a spirocyclic ring or ring system selected from the group consisting of C₃₋₇ carbocyclyl, 3-10 membered heterocyclyl, C₆₋₁₀ aryl, and 5-10 membered heteroaryl, each optionally substituted with one or more R⁵. 67-76. (canceled)
 77. A pharmaceutical composition comprising a therapeutically effective amount of a compound of claim 1, and a pharmaceutically acceptable excipient.
 78. The pharmaceutical composition of claim 77, further comprising an additional medicament. 79-83. (canceled)
 84. A method of treating a bacterial infection, comprising administering a compound of claim 1 to a subject in need thereof.
 85. The method of claim 84, further comprising administering to the subject an additional medicament. 86-94. (canceled) 